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Eyelid Reconstruction

Upper and Lower Eyelid Reconstruction - Dallas, Plano, TX

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If there is a defect after an eyelid or eye socket tumor has been removed, the board-certified ophthalmologists of Oculoplastic Associates of Texas in Dallas and Plano will reconstruct the eyelid so that it both functions properly and looks normal. Reconstruction is tailored to each patient based on the size and location of the defect. Oculoplastic surgeons are ideal for tumor removal and reconstruction, since they are trained in both ophthalmology and plastic surgery. The upper and/or lower eyelids may be involved in the reconstruction surgery, depending on the patient’s needs.

Surgical Technique

Superficial defects or minor growths that have been removed are usually repaired with basic wound care or a few stitches, which should heal in about 7 – 10 days. More extensive injuries or larger growths that have been removed may need more complex reconstruction involving transfer of nearby tissue (“flaps”) or skin grafts. Some patients may need several operations that are staggered to allow healing before the next reconstruction surgery continues or finishes the original surgery.

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Reconstruction FAQs

Reconstructive Vs. Cosmetic?

Reconstructive surgery is performed to improve the function or appearance of a part of the body that is abnormal because of congenital deformities (birth defects) or developmental deformities (damaged from injury, infection, disease, surgery, and more). Reconstructive surgery differs from cosmetic surgery, which is performed to change the appearance of a normal feature. Patients of all ages can be helped, whether it's a child born with droopy eyelids that may cause problems with visual development, or an older patient undergoing skin cancer removal and reconstruction.

Upper Eyelid Reconstruction?

For minor upper eyelid reconstruction, a direct closure or a direct closure with a lateral cantholysis may be used. For more extensive reconstruction of the upper eyelid, a semicircular flap with a periosteal flap, tenzel flap, or a Cutler-Beard flap may be used.

Lower Eyelid Reconstruction?

For minor lower eyelid reconstruction, a direct closure or direct closure with lateral cantholysis is usually used. For more extensive lower eyelid reconstruction, the doctor may use a semicircular flap, a periosteal flap, a transcoconjunctival flap, or a combination of techniques. 

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.