Benign Eyelid Lesions

Broadly classified, eyelid tumors can be of the following types –

Benign cysts

Inflammatory lesions

Vascular lesions 

Benign epithelial lesions

Pre-malignant lesions

Common viral lesions

Other lesions

These include Xanthelasma, nevi and Caruncular Tumors. Most are benign and require simple treatments. Xanthalesma is associated with high cholesterol levels in the blood. Nevi need excision if they change size or shape

When to Biopsy



The surgeon might remove the tumor and have a pathologist check the tissue margins ("frozen section") to be sure the tumor is completely removed. Alternatively, a dermatologic surgeon might excise the tumor in a special way ("Mohs technique") to ensure total removal.

Once the tumor has been completely removed, reconstructive surgery is usually necessary. Reconstructive surgery is performed to make a new eyelid or repair the defect.

Needless to say, the goal is to reconstruct the eyelid so that it functions suitably, protects the eye, preserves vision, and has a satisfactory cosmetic appearance. The patient must keep in mind that any form of therapy for eyelid skin cancer will leave a scar. However, an effort is always made to minimize scarring and obtain optimal cosmetic results.

After surgery, the healing process might take six months to one year. Once the wound has healed, follow-up with your physician is necessary to be sure that the skin cancer does not recur. Should there be development of a new cancer, it can then be detected early and treated promptly.