Before & After

60’s woman with “puffy” eyelids “Baggy eyelids runs in my family”. Photos seen: Pre-Op photo with drooping, excess upper lid skin folds and “loose” lower lid skin folds and fat. Post-Op photo following 4 lid blepharoplasty surgery shows good relief of excess upper lid skin folds “I have eyelids again” and a “more rested” appearance under her eyes.

A later 60’s man with “droopy” excess upper eyelid skin folds, and “loose” lower lid sagging skin folds and fatty tissue seen: Pre-op and approx.. 2 months Post-Op 4-lid blepharoplasty. Note the more “rested” appearance with very natural results.

Later 60’s woman with “very puffy eyelids”. Pre-Op photos show “sagging” excess upper lid skin, and “very baggy” lower eyelids. Post-Op photos approx.. 4 months after 4-lid blepharoplasty surgery show a nice “smoothing” effect on the upper and lower eyelids. The patient is very pleased that “People say that I look much more rested” “ … but it still looks like me.”

A 40’s woman with “puffy” eyelids (excess upper lid skin folds, and lax lower lids with excess fatty tissue)
seen: Pre-op and approx. 1 month Post-op.

Early 40’s woman with “swollen” excess upper eyelid skin folds, and “baggy” lower eyelids. Photos demonstrate: Pre-Op appearance, and Post-Op results approx. 6 weeks following 4 lid blepharoplasty.

Mid-40’s woman with excess upper eyelid skin folds, and “tired appearance” from baggy lower lids. Photos seen:
Pre-Op and approx. 4 months Post-Op 4 lid blepharoplasty surgery.

Later 50’s man with “very swollen, baggy, droopy” eyelids Stating that “Everyone says that I look tired … even after I return
From vacation!”. Photos demonstrate: Pre-Op “drooping” excess upper lid skin folds, and “baggy” lower eyelids with lax skin folds and large amounts of prolapsed fatty tissue, and Post-Op photos following successful 4 lid blepharoplasty surgery. The eyelid surgery preserved this man’s “natural features”, yet gave him a much more “refreshed” appearance.

A 50’s woman who stated that “I’m active, and keep myself in shape, But my eyes make me look tired”. Photos are seen: Pre-Op and approx. 3 months following blepharoplasty surgery of all 4 lids. The upper lids are “cleaner” with excess skin folds having been removed, and the lower lids have “smoothed” of lax skin folds and fatty pockets. The Post-Op results preserve the patient’s natural features and expression.

An early 40’s woman with “swollen puffy” eyelids stating “It runs in my family” and “It makes me look tired”. Pre-Op photos show lax, redundant upper lid skin folds, and lower eyelid laxity with prominent fatty tissue prolapse. Photos approx. 4 months Post-Op show results of blepharoplasty surgery of all 4 lids. The patient reports that even her husband says that she “looks much more refreshed”.

Approx 50 yr woman with “puffy” upper and lower eyelids seen: (A)Pre-Op, and (B) approx. 3 months Post-Op following 4-lid blepharoplasty. The upper lids have a “cleaner” appearance and contour of the folds, and lower eyelids now have a more “rested” appearance.

A 50’s woman with “puffy” lower eyelids “I look tired all of the time”. Photos seen: (a) PreOp – significant lower lid fatty tissue prolapse, and (b) PostOp – approx. 2 months following blepharoplasty surgery with very successful, natural-appearing results.

Early 60’s woman with excess upper lid skin folds. Pre-Op photos show redundant upper lid skin folds, with the findings much worse on the right side due to asymmetric right brow ptosis. Post-Op results are seen following bilateral upper lid blepharoplasty (which in this case was combined with “internal” browpexy performed through the same upper lid blepharoplasty incisions).

A later 30’s woman has “droopy lids” “It runs in the family”. Photos are seen: (A) Pre-Op showing a young woman with upper lid skin “hanging” over the lid margins on each side, and (B) Post-Op approx. 3 months following successful bilateral upper lid blepharoplasty which restored natural-appearing upper lid creases on each side. Per the patient: “This is what my eyes looked like when I was younger!”

A 40’s woman presented with “sad” “droopy” upper lids complaining that “I feel great but people say that I look tired”. Photos show the patient Pre-Op with “sagging” “swollen” upper lid skin folds, and Post-Op with a “refreshed look” via bilateral upper lid blepharoplasty surgery with skin fold removal, fat contouring, and muscle tightening – this technique gives the most long-lasting and natural results for eyelid surgery.

A later 70’s woman has “very droopy” upper lids weighting-down her eyelids and interfering with her vision. Photographs show: Pre-Op large amount of excess upper lid skin folds hanging over the edge of the upper lid on each side, and Post-Op photograph approx. 4 months following bilateral upper lid blepharoplasty – The contours of the upper lid skin folds are very balanced, and natural in appearance, and there is good relief of prior visual blockage symptoms.

A 40’s woman with “sagging” upper lid skin folds. Photos show: Pre-Op redundant excess upper lid skin folds, and Post-Op bilateral upper lid blepharoplasty results. The surgery results enhance the appearance of the patient’s eyes in a natural way. The upper lid blepharoplasty surgery does not change the shape of the eyes, nor make the patient look “surprised”.

Early 60’s patient with “heavy, sagging” upper eyelids “I think that it interferes with my vision”. Photos show: Pre-Op excess upper lid skin folds hanging over the lid margins (left side worse), and Post-Op photo 2 months following bilateral upper lid blepharoplasty “I see much better” and “I have eyelids again”.

A early 60’s man with “baggy” lower eyelids with concerns of “Everyone always says that I look tired”. Photos show this patient PreOp and approx. 2 months Post-Op bilateral lower lid blepharoplasty. Note that surgery has greatly alleviated the prior “tired” appearance.

70’s woman with notable amount of lower eyelid tendon laxity contributing to lax lower lid skin folds and descent of premalar “cheek” tissues “bags”. Photos show Pre-Op and approx. 3 months Post-Op bilateral lower lid (and premalar) surgery including lower lid tendon tightening and suspension (in order to reduce and elevate the cheek “bags”, yet maintain the form and shape of the eyelids).

A 70’s woman who had undergone prior facelift and 4 lid blepharoplasty surgery. Post-operatively, her lower eyelids “turned inside-out”, and she sought Dr. Tanenbaum’s expertise for corrective surgery for this problem. Photos show: Pre-Op appearance upon initial presentation to see Dr. Tanenbaum, and approx. 1 month Post-Op following Dr. Tanenbaum’s corrective lower eyelid surgery (including scar tissue release, lower lid tendon refixation, and natural reformation of the “outer corners” of the eyelids and “shape” of the eyelid fissures).

A 60’s woman had undergone blepharoplasty surgery elsewhere, with post-operatively complications of the left lower eyelid “pulling down”. She sought Dr. Tanenbaum’s opinion re: corrective surgery options. The photographs demonstrate the patient’s Pre-Op appearance at the time of presentation to see Dr. Tanenbaum, and the Post-Op results approximately 3 months following Dr. Tanenbaum’s corrective left lower eyelid surgery. Following this repair/reconstruction of the problem, the left lower eyelid has a good position and contour, and most of the prior “redness” had fully resolved.

A later 60’s woman had undergone prior facelift and blepharoplasty surgery, complicated by her lower eyelids “pulling down”. The patient was referred to Dr. Tanenbaum for further evaluation and corrective surgery. The photos show: (A) Pre-Op appearance on presention including “a lot of white showing” due to the lower lid retraction (following her initial blepharoplasty surgery), and (B) Post-Op following Dr. Tanenbaum’s corrective surgery – The customized repair for this patient involved “tendon tightening” via elevation and refixation for the left lower lid, and mid-lamellar tissue grafting to repair the “bound-down” retracted right lower lid. The corrective surgery was successful in restoring a normal form, position, and contour to the lower eyelids, while maintaining a high degree of symmetry.

This 70’s woman had undergone prior cosmetic blepharoplasty and facelift surgery which resulted in significant amounts of lower lid retraction. The patient presented to Dr. Tanenbaum with chronic problems of dry, red irritated eyes (due to the large amount of inferior “scleral show” and inability of the eyes to properly close. Dr. Tanenbaum performed corrective lower eyelid surgery (w/ mid-lamellar spacer grafts i.e. tissue “grafted” to the middle, internal layers of the eyelid) so as to “raise” the position of the lower eyelids, alleviate chronic irritation, and allow both eyes to close. The patient was relieved of chronic eye irritation, and pleased that “I look normal again.”

Early 60’s patient with “heavy, sagging” upper eyelids “I think that it interferes with my vision”. Photos show: Pre-Op excess upper lid skin folds hanging over the lid margins (left side worse), and Post-Op photo 2 months following bilateral upper lid blepharoplasty “I see much better” and “I have eyelids again”.

A later 70’s woman has “very droopy” upper lids weighting-down her eyelids and interfering with her vision. Photographs show: Pre-Op large amount of excess upper lid skin folds hanging over the edge of the upper lid on each side, and Post-Op photograph approx. 4 months following bilateral upper lid blepharoplasty – The contours of the upper lid skin folds are very balanced, and natural in appearance, and there is good relief of prior visual blockage symptoms.

A 70’s woman has developed severe, progressive bilateral upper lid ptosis with her “very droopy eyelids” interfering with her routine vision and contact lens wear. The photographs show: (A) Pre-Op severe bilateral upper lid ptosis, and (B) Approx. 2 months Post-Op following a “gentle” amount of upper lid ptosis “lifting”. The patient reported that “I can see much, much better”, and “This is what my eyes used to look like”.

A 50’s woman with one “droopy eyelid”. Photos show: (A)Pre-Op unilateral left upper lid ptosis “droop”, and (B) Approx. 2 months Post-Op one-side left upper eyelid ptosis surgery repair. Surgery on the left upper lid ptosis restores good symmetry to both of the patient’s upper eyelids by fixing the one-sided “droop”.

Approx 50 year old man with a notable “droop” of his right upper eyelid “My right lid is more than half-closed”. Photos show the patient Pre-Op and approx. 2 months Post-Op successful right upper lid ptosis surgery.

A 60’s woman with a history of “I used to have such big, pretty blue eyes” but had developed progressive upper lid ptosis (“drooping upper lids”) on each side. Photos are seen: Pre-op and 3 months Post-Op bilateral upper lid ptosis surgery performed via a secure tightening of the “lifting” muscles of the upper lids.

A 30’s woman with a single “droopy” eyelid on the right side. Photos seen Pre-Op, and approx. 3 months Post-Op following unilateral ptosis surgery of the right upper eyelid.

Asian eyelids have unique creases and folds due to the unique underlying eyelid anatomy and structure. These photographs demonstrate a 50’s woman with Asian single eyelid” Pre-Op (Note the sagging, excess upper lid skin folds toward each outer corner of the eye), and Post-Op with a pleasing “double eyelid” with preservation of the a natural Asian appearance. Asian eyelids are a very good example of eyelid surgery needing to tailored to each patients individual features (whether that be Asian, Caucasian, man, woman, young, or elder individual).

"A 50's Asian male presented with "single eyelids" and complained that "This makes me look sad, and tired". Upper lid blepharoplasty by Dr. Tanenbaum (specifically tailored to the oriental eyelid unique structure) resulted in a very natural-appearing "double eyelid". The patient was very pleased and stated "I look much better" and "The results are very natural".

Graves’ Disease – A 60’s woman with severe Graves’ Disease (Thyroid-related Orbitopathy/Eye Disease) for referred to Dr. Tanenbaum on an urgent-care basis for reasons of losing vision in her right eye. This patient had the severe-most form of Graves’ Disease – compressive optic neuropathy (The thyroid orbital disease was such that “pressure” from swollen, inflamed periorbital tissues were “compressing” and literally “blinding” the right eye. Photos demonstrate: (A) Pre-Op appearance with the “bulging” right eye distorted way off-axis, (B) Post-Op photograph several months following successful right orbital decompression – The patient recovered her prior vision “loss”, and stabilized, and (C) Further Post-Op following adjustment of the right eye muscles (to achieve better eye alignment, and greatly reduce chronic problems of seeing “double” vision). Further corrective eyelid surgery remains an option, though the patient is doing well and very happy with the results at present.

A 30’s woman with Gra30s female upper eyelid surgery preves’ disease with “bulging eyes” with bilateral upper eyelid retraction. Photos show: (A) Pre-Op with retracted upper lids with a “staring” appearance, and (B) Post-Op with bilateral upper lid retraction repair surgery restoring a more “normal appearance” to the eyes.

Later 20’s woman with thyroid eye disease (Graves’ Disease) With disfiguring “bulging” of her right eye. Photos are seen Pre-Op and approx.. 4 months Post-Op unilateral right upper eyelid retraction repair surgery. The patient was very happy to have a “normal” appearance restored with successful surgery.

A 50’s woman with thyroid eye disease (Graves’ Disease) has asymmetric left upper lid retraction with dryness and irritation affecting the left eye. The photos are seen Pre-Op and Post-Op left upper lid retraction repair (which is performed with local anesthesia via a “release” of the abnormally tight “lifting muscle” of the left upper lid).

An elder man had undergone Moh’s excision of a very large basal cell, and was referred to Dr. Tanenbaum for expert reconstruction of the left lower eyelid including large areas of the “outer corner” of the lids. The photos show: (A)Pre-Op large Mohs’ skin cancer excision defect, and (B) approx. 2 months Post-Op following Dr. Tanenbaum’s eyelid reconstruction.

A 60’s year old woman referred to Dr. Tanenbaum following Mohs’ excision of a large superficial melanoma of the right lower eyelid and cheek. The photographs Show: (A) Biopsy-confirmed pigmented superficial melanoma (B) Large defect of the right lower lid and cheek following medically necessary resection of this dangerous, malignant skin cancer, and (C) Post-Op surgery results several months following reconstruction – reconstructive surgery was successful in repairing the large defect, and maintaining the proper form and function of the right eyelid(s). In this case (a large, serious malignant melanoma), Dr. Tanenbaum helped coordinate “full exam” of the patient including referral for: full skin exam, Head & Neck (and lymph node) exam, and general oncologic evaluation (to evaluate the patient for any possible signs of tumor spread).

Elderly woman with a very serious sebaceous gland carcinoma of the left upper eyelid: (A) Pre-Op photo showing the aggressive malignant tumor involving the inner half of the left upper lid (B) photo immediately following Mohs’ excision of the tumor including a large portion of the left upper lid margin and full-thickness of the left upper lid (C) Post-Op photo approx.. 3 months after surgery showing the left upper eyelid reconstructed by Dr. Tanenbaum – This eyelid no longer has lashes (destroyed by the malignant tumor), though the reconstructed lid has good contour and position, and it opens properly and closes well (so as to protect the left eye).

A 70’s man with spontaneous right lower eye “turning out” (ectropion) due to aging changes and significant right lower lid laxity. This problem causes chronic redness, tearing, and irritation of the affected eye. Photos show: Pre-Op right lower lid ectropion, and Post-Op approximately 2 months right lower lid ectropion repair. Dr. Tanenbaum’s surgical procedures reply on sound surgical technique , which is individualized for each patient’s anatomic problems and/or flaws. This approach consistently yields the most long-lasting and natural results.

A 60’s woman had undergone blepharoplasty surgery elsewhere, with post-operatively complications of the left lower eyelid “pulling down”. She sought Dr. Tanenbaum’s opinion re: corrective surgery options. The photographs demonstrate the patient’s Pre-Op appearance at the time of presentation to see Dr. Tanenbaum, and the Post-Op results approximately 3 months following Dr. Tanenbaum’s corrective left lower eyelid surgery. Following this repair/reconstruction of the problem, the left lower eyelid has a good position and contour, and most of the prior “redness” had fully resolved.

A 70’s woman who had undergone prior facelift and 4 lid blepharoplasty surgery. Post-operatively, her lower eyelids “turned inside-out”, and she sought Dr. Tanenbaum’s expertise for corrective surgery for this problem. Photos show: Pre-Op appearance upon initial presentation to see Dr. Tanenbaum, and approx. 1 month Post-Op following Dr. Tanenbaum’s corrective lower eyelid surgery (including scar tissue release, lower lid tendon refixation, and natural reformation of the “outer corners” of the eyelids and “shape” of the eyelid fissures).

Early 60’s woman with excess upper lid skin folds. Pre-Op photos show redundant upper lid skin folds, with the findings much worse on the right side due to asymmetric right brow ptosis. Post-Op results are seen following bilateral upper lid blepharoplasty (which in this case was combined with “internal” browpexy performed through the same upper lid blepharoplasty incisions).

70’s woman with notable amount of lower eyelid tendon laxity contributing to lax lower lid skin folds and descent of premalar “cheek” tissues “bags”. Photos show Pre-Op and approx. 3 months Post-Op bilateral lower lid (and premalar) surgery including lower lid tendon tightening and suspension (in order to reduce and elevate the cheek “bags”, yet maintain the form and shape of the eyelids).

This 70’s woman had undergone prior cosmetic blepharoplasty and facelift surgery which resulted in significant amounts of lower lid retraction. The patient presented to Dr. Tanenbaum with chronic problems of dry, red irritated eyes (due to the large amount of inferior “scleral show” and inability of the eyes to properly close. Dr. Tanenbaum performed corrective lower eyelid surgery (w/ mid-lamellar spacer grafts i.e. tissue “grafted” to the middle, internal layers of the eyelid) so as to “raise” the position of the lower eyelids, alleviate chronic irritation, and allow both eyes to close. The patient was relieved of chronic eye irritation, and pleased that “I look normal again.”

Lower eyelid retraction is a condition whereby the lower lid position is shifted downward showing the “white(s)” of the eye (True ectropion is where the actual lower lid turns “outward”). Lower lid retraction causes dryness, irritation and exposure of ocular surface. Photographs show: Pre-Op 70’s ma with chronic “red, irritated” eyes due to lower eyelid retraction, and Post-Op 2 months following lower eyelid retraction surgical repair.

Basal cell carcinoma is the most common malignant eyelid tumor. These eyelid skin cancers are locally destructive to the surrounding eyelid tissues, and are treated surgically including: (1) excision with monitoring of the margins of excision and (2) ophthalmic plastic eyelid reconstruction techniques.

Basal cell carcinoma is the most common malignant eyelid tumor. These eyelid skin cancers are locally destructive to the surrounding eyelid tissues, and are treated surgically including: (1) excision with monitoring of the margins of excision and (2) ophthalmic plastic eyelid reconstruction techniques.

Basal cell carcinoma is the most common malignant eyelid tumor. These eyelid skin cancers are locally destructive to the surrounding eyelid tissues, and are treated surgically including: (1) excision with monitoring of the margins of excision and (2) ophthalmic plastic eyelid reconstruction techniques.

Basal cell carcinoma is the most common malignant eyelid tumor. These eyelid skin cancers are locally destructive to the surrounding eyelid tissues, and are treated surgically including: (1) excision with monitoring of the margins of excision and (2) ophthalmic plastic eyelid reconstruction techniques.

Basal cell carcinoma is the most common malignant eyelid tumor. These eyelid skin cancers are locally destructive to the surrounding eyelid tissues, and are treated surgically including: (1) excision with monitoring of the margins of excision and (2) ophthalmic plastic eyelid reconstruction techniques.

Blepharospasm – involuntary spasm and eyelid closure, with inability to comfortably hold lids open to see.

Canaliculitis – Inflammation and infection of the very small portions of the tear drainage duct (the “canaliculus”). These cases usually require a local anesthesia procedure to “clean out” the infected canaliculus (via curettage), which often contains small, infected “stones”.

Chalazion – inflammatory condition initially treated with hot compresses. If a chalazion becomes chronic, they are usually drained/excised “from inside the eyelid” as an office procedure.

Chalazion – inflammatory condition initially treated with hot compresses. If a chalazion becomes chronic, they are usually drained/excised “from inside the eyelid” as an office procedure.

Chalazion – inflammatory condition initially treated with hot compresses. If a chalazion becomes chronic, they are usually drained/excised “from inside the eyelid” as an office procedure.

Ocular Squamous Cell Carcinoma – This malignant tumor occurs in areas of sun-damage and sun exposure, including the surface of the eye. Treatment typically involves: (1) microsurgery with “clear” margins of excision of these tumors, and (2) delicate reconstruction of the ocular surface.

Ocular Squamous Cell Carcinoma – This malignant tumor occurs in areas of sun-damage and sun exposure, including the surface of the eye. Treatment typically involves: (1) microsurgery with “clear” margins of excision of these tumors, and (2) delicate reconstruction of the ocular surface.

Dacryocystitis - Tear duct disorders are common, and nasolacrimal duct obstruction can lead to acute dacryocystitis (as seen in photograph). Initially, this infection is treated with oral antibiotics, and ultimately tear duct surgery (outpatient surgery using local anesthesia with mild intravenous sedation) has a very high success rate of curing the problem and preventing further infections.

Dermatitis is a general term indicating “inflammation” of the skin. As seen is this photograph, dermatitis can affect eyelid skin, with resultant itchy eyelids, and possible eye irritation. There are different types of dermatitis such as seborrheic dermatitis, or atopic(allergic) dermatitis (such as eczema). Depending on the cause, treatment may involve topical use of small quantities of cortisone ointments or creams.

Ectropion – This condition is marked by the lower eyelid “turning outside” with patient symptoms of redness, tearing, mucous accumulation, and irritation of the affected eye. Ectropion may be due to eyelid “looseness” in elderly patients, but may also be due to scarring, prior surgeries, and other problems. Corrective surgery (outpatient procedure, local anesthesia) is tailored to the specific eyelid(s) structural problem(s).

Ectropion – This condition is marked by the lower eyelid “turning outside” with patient symptoms of redness, tearing, mucous accumulation, and irritation of the affected eye. Ectropion may be due to eyelid “looseness” in elderly patients, but may also be due to scarring, prior surgeries, and other problems. Corrective surgery (outpatient procedure, local anesthesia) is tailored to the specific eyelid(s) structural problem(s).

Ectropion – This condition is marked by the lower eyelid “turning outside” with patient symptoms of redness, tearing, mucous accumulation, and irritation of the affected eye. Ectropion may be due to eyelid “looseness” in elderly patients, but may also be due to scarring, prior surgeries, and other problems. Corrective surgery (outpatient procedure, local anesthesia) is tailored to the specific eyelid(s) structural problem(s).

Entropion – “loose” unstable lower eyelids in elderly patients are prone to malposition whereby the entire lower eyelid “turns inward”. This is a very irritating condition for the patient (“scratchy pains, and mucous, tearing symptoms). Some entropions have a large component of eyelid “scarring”. Treatment is typically an outpatient surgery repair performed under local anesthesia.

Entropion – “loose” unstable lower eyelids in elderly patients are prone to malposition whereby the entire lower eyelid “turns inward”. This is a very irritating condition for the patient (“scratchy pains, and mucous, tearing symptoms). Some entropions have a large component of eyelid “scarring”. Treatment is typically an outpatient surgery repair performed under local anesthesia.

Lagophthalmos – This is the problem of the eyelids not being able to close, with results of possible exposure and dry eye. Causes can include: facial(Bell’s) palsy or due to eyelid surgery. A number of useful, corrective surgical techniques can be used to treat this problem.

Lagophthalmos – This is the problem of the eyelids not being able to close, with results of possible exposure and dry eye. Causes can include: facial(Bell’s) palsy or due to eyelid surgery. A number of useful, corrective surgical techniques can be used to treat this problem.

Eyelid cyst – a benign, small yellow cystic tumor is among the most common eyelid “growths” (benign tumors) that develop. They tend to slowly enlarge, and are easiest to remove when they are still small. Removal of benign eyelid cysts is typically performed as an office procedure using small quantities of local anesthesia.

Lymphoma – This 60’s year old patient had seen Dr. Tanenbaum for further evaluation of a “fleshy pink growth” along the surface of his eye. Dr. Tanenbaum performed careful biopsy with specialized tissue processing in order to correctly diagnosis malignant lymphoma. Dr. Tanenbaum helped coordinate referral for full oncology evaluation, and chemotherapy which was successful.

Lymphoma – This 60’s year old patient had seen Dr. Tanenbaum for further evaluation of a “fleshy pink growth” along the surface of his eye. Dr. Tanenbaum performed careful biopsy with specialized tissue processing in order to correctly diagnosis malignant lymphoma. Dr. Tanenbaum helped coordinate referral for full oncology evaluation, and chemotherapy which was successful.

Melanoma is among the most serious of the malignant eyelid skin cancers. Treatment involves: (1) Careful coordination of “excision” of the melanoma in a manner that achieves free and clear margins, and specialized ophthalmic plastic surgical reconstruction of the eyelid, and (2) considerations of systemic and/or oncological evaluation of possible tumor spread.

Melanoma is among the most serious of the malignant eyelid skin cancers. Treatment involves: (1) Careful coordination of “excision” of the melanoma in a manner that achieves free and clear margins, and specialized ophthalmic plastic surgical reconstruction of the eyelid, and (2) considerations of systemic and/or oncological evaluation of possible tumor spread.

Nevus – a common, benign pigmented skin lesion. These lesions need careful evaluation, and possible biopsy if melanoma is suspected. Some nevi are amelanotic (i.e. completely lacking in pigmentation) and occur along the eyelid margin and can be removed as a simple, office procedure.

Nevus – a common, benign pigmented skin lesion. These lesions need careful evaluation, and possible biopsy if melanoma is suspected. Some nevi are amelanotic (i.e. completely lacking in pigmentation) and occur along the eyelid margin and can be removed as a simple, office procedure.

Oncocytomas are uncommon tumors. In ophthalmology, these tumors most commonly occur on the inner corner of the eye (the caruncle) and they are typically benign tumors arising out of oncocytic metaplasia of ocular tissues in this region. Careful excision of these tumors is usually curative. A rare oncocytoma can be malignant. Periocular and eyelid tumors should be evaluated (and treated) by an experienced ophthalmic/ophthalmic plastic surgeon.

Eyelid squamous cell carcinoma is a malignant skin cancer that can occur on the eyelid in areas of sun damage/sun exposure. These are typically treated by: (1) careful, complete excision (eg. Mohs’ excision), (2) coordinated with ophthalmic plastic surgical reconstruction.

Sebaceous Gland Carcinoma – An uncommon, but very serious malignant tumor originating in the meibomian glands of the eyelid. Treatment involves: (1) Staging and careful excision of these tumors, (2) meticulous ophthalmic plastic reconstructive surgery, and (3) evaluation for possible spread of these neoplasms.

Sebaceous Gland Carcinoma – An uncommon, but very serious malignant tumor originating in the meibomian glands of the eyelid. Treatment involves: (1) Staging and careful excision of these tumors, (2) meticulous ophthalmic plastic reconstructive surgery, and (3) evaluation for possible spread of these neoplasms.

Seborrheic keratosis is a benign (“non-cancerous”) tumor seen on sun-damaged areas of skin, including eyelid skin, and is among the very most common “growths” seen on the eyelid. These lesions are usually removed as simple office procedure.

Seborrheic keratosis is a benign (“non-cancerous”) tumor seen on sun-damaged areas of skin, including eyelid skin, and is among the very most common “growths” seen on the eyelid. These lesions are usually removed as simple office procedure.

Seborrheic keratosis is a benign (“non-cancerous”) tumor seen on sun-damaged areas of skin, including eyelid skin, and is among the very most common “growths” seen on the eyelid. These lesions are usually removed as simple office procedure.

“Stye” of the eyelid – an inflammatory condition that typically needs to be drained or excised.

Xanthalasma – These characteristic yellow skin plaques usually occur toward the inner aspects of the upper and/or lower eyelids. Patients often refer to these lesions as “cholesterol deposits”. It is important to evaluate patients for systemic conditions (including elevated serum triglycerides or cholesterol, or diabetes). Careful surgical excision typically yields good results, though xanthalasma have the potential to recur.

Xanthalasma – These characteristic yellow skin plaques usually occur toward the inner aspects of the upper and/or lower eyelids. Patients often refer to these lesions as “cholesterol deposits”. It is important to evaluate patients for systemic conditions (including elevated serum triglycerides or cholesterol, or diabetes). Careful surgical excision typically yields good results, though xanthalasma have the potential to recur.

Xanthalasma – These characteristic yellow skin plaques usually occur toward the inner aspects of the upper and/or lower eyelids. Patients often refer to these lesions as “cholesterol deposits”. It is important to evaluate patients for systemic conditions (including elevated serum triglycerides or cholesterol, or diabetes). Careful surgical excision typically yields good results, though xanthalasma have the potential to recur.