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Eyelid Reconstruction After Mohs Micrographic Surgery

Rames JD, Rames MM, Yu CY, et al.
Dermatologic Surgery (2025)

Open AccessJC: September 2025

This study reviewed eyelid reconstruction techniques after Mohs micrographic surgery, covering a range of approaches from direct closure to complex staged flaps. The review provided a systematic approach to reconstruction selection based on defect size, location, and depth within the eyelid.

Take-Home Messages

  • Eyelid reconstruction after Mohs surgery should be guided by defect size, depth, and involvement of the lid margin or canthi.
  • A systematic approach to eyelid reconstruction ensures functional preservation of the eyelid and globe protection.

Topic

Reconstruction

Flaps, grafts, wound closure techniques after Mohs

Abstract

Development of ectropion is a frequently reported complication after reconstruction of infraorbital Mohs defects. This study aimed to characterize preoperative and surgical factors contributing to ectropion development in patients undergoing reconstruction after Mohs micrographic surgery. We conducted a retrospective single-center case-control study on patients undergoing reconstruction of Mohs micrographic surgery defects involving the nonmarginal lower eyelid and upper cheek from 2011 to 20...

Literature review only. This summary is an editorial interpretation and may not reflect the complete findings of the original publication. Always refer to the full-text article for clinical decision-making.