Skin cancer

Skin cancers of the eyelids and surrounding area require very precise surgery due to the close proximity to the eye and other important structures such as nerves. After a cancer is removed, careful customised reconstructive surgery is required to restore the function of the eyelids and achieve the best cosmetic result. Mr Yadav is an oculoplastic surgeon specialising in this area. He has performed thousands of cancer removals and reconstructions.

Below are patients treated by Mr Yadav showing before and after pictures:

canthus squamous cell carcinoma scc

Medial canthus squamous cell carcinoma (SCC)

reconstruction canthus squamous cell carcinoma scc

Appearance following excision and reconstruction

eyelid nodular basal cell carcinoma bcc

Lower eyelid nodular basal cell carcinoma (BCC)

reconstruction eyelid basal cell carcinoma bcc

Appearance following excision and reconstruction

canthus basal cell carcinoma bcc

Medial canthus nodular basal cell carcinoma (BCC)

reconstruction canthus basal cell carcinoma bcc

Appearance following excision and reconstruction

canthus nodular basal cell carcinoma bcc

Medial canthus nodular basal cell carcinoma (BCC)

reconstruction canthus nodular basal cell carcinoma bcc

Appearance following medial canthus reconstruction

eyelid infiltrative basal cell carcinoma bcc

Lower eyelid infiltrative basal cell carcinoma (BCC)

reconstruction infiltrative basal cell carcinoma bcc

Appearance following excision and reconstruction

eyelid squamous cell carcinoma scc

Lower eyelid squamous cell carcinoma (SCC)

reconstruction eyelid squamous cell carcinoma scc

Appearance following excision and reconstruction

What causes skin cancer around the eyes (periocular)?

The main cause of skin cancer of the eyelids and surrounding area is exposure to sunlight. The skin in these areas is unique as it contains little or no fat. This is important for the function of the eyelids but also renders them vulnerable to the effects of UV light leading to cancer formation. The risk of developing these tumours is higher in people with fair skin and those who have had excessive UV light exposure.

Who is at risk of developing skin cancer?
 

The risk of developing skin cancer around the eye is higher in people with fair skin as they have less melanin to protect against the effects of UV light. Cumulative UV exposure is also important. People that work outdoors, live in sunny climates, have previously used sunbeds or are on immunosuppressive medications are also particularly at risk. However, anyone can develop these tumours even if they have not had excessive UV exposure.  

Will it get better by itself?

 

No. Skin cancer continues to progress. Some tumours grow very slowly while others can progress rapidly. In all cases early treatment is best to reduce the risk of the cancer spreading or requiring more extensive surgery in the future.  

What types of skin cancers develop on the eyelids and surrounding areas?

The commonest type of skin cancer is a basal cell carcinoma (BCC). This is usually very slowly growing and doesn't tend to spread elsewhere unless neglected for a long time. The other main types of cancer in this area are squamous cell carcinoma (SCC), sebaceous gland carcinoma and melanoma which tend to grow fast and are at risk of spreading.  

How is periocular skin cancer treated?

Surgery is required in almost all cases. The first priority is to achieve complete removal (excision) of the cancer. Once this has been completed, attention focuses to restoring the anatomy (reconstruction). The type of reconstruction carried out is different for every patient as it depends on the site, size, depth and nature of tissue involved. Mr Yadav will tailor your surgery to your specific needs to achieve the best functional and cosmetic result possible.    

Will my cancer come back?

Once complete excision has been achieved it is very unlikely that the cancer will come back at the same site. However, people who have developed skin cancer at one site may develop further tumours elsewhere on UV-exposed skin. If you have had one skin cancer it is important to remain vigilant for suspicious growths by self-checking at regular intervals each month.