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Eyelid Lesions

Dr. Zoumalan encounters various types of eyelid lesions, some of which can be observed while others need to be removed. Although eyelid lesions that appear benign are usually benign, a biopsy is often indicated in order to make sure there is an accurate diagnosis. There are dozens of different types of eyelid lesions that can occur around the eyelid, the most common include skin cancer (such as basal cell carcinoma, squamous cell carcinoma, sebaceous cell carcinoma), benign lesions such as cysts, moles (also termed nevi), cholesterol deposits (also termed xanthelasma), skin tags, hemangiomas, papillomas, syringomas, chalazions or styes, actinic keratosis, and seborrheic keratosis.

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    Preoperative Diagnosis: Bilateral upper lid ptosis, left upper lid lesion (black arrow), lower lid laxity. Lower lid laxity was resulting in tearing.

    Procedure performed: Bilateral upper lid ptosis repair, excision of left upper lid lesion, and canthoplasty (lower lid resuspension). The left upper lid lesion was a benign seborrheic keratosis.

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    Preoperative Diagnosis: Bilateral upper and lower lid cysts.

    Procedure performed: Excision of upper and lower lid cysts.

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    Preoperative Diagnosis: Right lower lid chalazion.

    Procedure performed: Excision of right lower lid chalazion. Dr. Zoumalan performed this procedure in the office using local anesthesia only. The lesion recurred and required steroid injections to help resolve the inflammation.

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    Preoperative Diagnosis: Right upper lid inclusion cyst.

    Procedure performed: Excision of right upper lid inclusion cyst. The photo on the right was taken 10 days after surgery; there is still a resolving bruise but you can see the ptosis that the lesion was causing has been resolved in addition to the removal of the cyst.

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    Preoperative Diagnosis: Right upper lid cyst.

    Procedure performed: Excision of right upper lid cyst with eyelid reconstruction.

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    Preoperative Diagnosis: Left lower lid mole (nevus)

    Procedure performed: Full thickness wedge excision of left eyelid lesion with eyelid reconstruction.

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    Preoperative Diagnosis: Left lower lid chalazion

    Procedure performed: Excision of left lower lid chalazion (in office procedure).