Eyelid reconstruction may be undertaken in a variety of situations. Defects in the eyelid most commonly occur after trauma or tumor excision.
Simple superficial defects in the eyelid may occur after minor trauma or removal of small growths. Many of these defects require nothing more than local wound care and will heal on their own in 7 to 10 days. Some simple superficial defects may require a few sutures with the same local wound care.
In some instances, such as after traumatic injuries or removal of larger growths or skin cancers, larger defects may extend through the entire lid. Many of these can be sutured together directly, but many others may require more complex reconstruction. In many of these more complex cases, the surgeon will need to use the transfer of adjacent tissues (what we call ”flaps”), or transfer of skin from other parts of the eyelid face or body (what we call “skin grafts”) to complete the reconstruction. Some of these more complex reconstructions may require more than one operation to complete (what we call “staged reconstruction”).