Eyelid Skin Cancer / Periocular Basal Cell Carcinoma

Read our Facial basal cell carcinoma publication in the BMJ (free)

Certain areas of the face are at high risk for invisibly spreading skin cancers. Incomplete excision of a cancer at this site can result in further surgery and so can impact on the repair options. This in turn can affect the function of the eyelids or cosmesis.

More importantly a correct and early diagnosis benefits removal and eventual reconstruction. Possibly 20-40% of periocular BCC are misdiagnosed. My feeling is that this is because they are difficult to diagnose and if an initial or second treatment for a stye, chalazion or blepharitis fails then maybe one should consider that a biopsy might be useful.

For help with diagnosis remember LUI
Loss of lashes

I do a lot of skin cancer surgery for BCC in this area and in my opinion the eyelids is one of those places on the face that a skin cancer doctor should try to get it right each time, every time, 100% of the time.

5-10% of all skin cancers occur on the eyelids. As 90-95% of all cancers of the eyelids are basal cell carcinomas - almost all will benefit from Mohs micrographics surgery. I work in conjuction with an oculoplastic or plastic surgeon and ask for their help in reconstructing this complex area. 

Eyelid BCC in pictures on dermnet.nz        

A-Z patient info leaflets
Basosquamous carcinoma
BCC treatment
Biography / Publications
Bloke in "chippy" saved my sight
Bowen's disease / IEC
CMA / Fees
Contact / Appointments
Early detection of skin cancer
Eyelid Skin Cancer / BCC
Facial basal cell carcinoma Golfers and skin cancer
Home / Introduction
IEC / Bowen's disease
In the news
Imiquimod / Aldara
Is this mole a skin cancer
Laser Treatment - I don't do
Lentigo Maligna


Louise Sumner skincare
Lymph Node exam
Melanoma Diagnosed
Mohs surgery
Mohs surgery in pictures
Moles and mole checks
Nottingham Dermatologist Nottingham Nurse Surgery Course
Notts CCC screening 2004-21
Oregon Health & Sciences Univ PDT = Photodynamic therapy
Privacy Notice
Prevention of Skin Cancer
Profile / Publications
Skin cancer
Skin cancer charity
Skin cancer checks
Treatments I do / don't do
War Veterans and skin cancer
Dr Sandeep Varma Ltd. 2/2022. Registered No. 8010461. Registered Office 7 Lindum Terrace. Lincoln LN2 5RP. Site by Wizbit     Cookie Policy