Skin cancer on or around the eyelid is more common than many people realize. The delicate, sun-exposed skin in this area is especially vulnerable to basal cell carcinoma, squamous cell carcinoma, and other skin cancers that require precise treatment and removal. While MOHS surgery is often the best technique for removing these cancers with minimal margin loss, it can leave behind visible eyelid defects that need expert reconstruction.
That’s where Dr. Melanie Ho Erb, a double board-certified oculoplastic and ophthalmic surgeon, provides critical support. With specialized training in eyelid and facial reconstruction, she performs customized eyelid repair following MOHS surgery–restoring both appearance and protective eyelid function for patients across Irvine, Orange County, and the Los Angeles area.
Dr. Melanie Erb is a fantastic physician. Dr. Erb’s thoroughness is outstanding as she meticulously attended to every detail in my situation. I felt that she left no stone unturned in discovering the best plan of action that completely met my objectives. I trust Dr. Erb, and had an all-around positive experience. I will be referring friends and family to her.
When Is Eyelid Reconstruction Needed After MOHS?
After MOHS surgery removes skin cancer from the eyelid, the remaining wound may be small or extensive depending on the tumor’s size, location, and depth. Reconstruction becomes necessary when:
- The eyelid margin has been affected
- There is exposure of underlying tissue or cartilage
- There’s a risk of eyelid pulling, sagging, or malposition
- The defect interferes with eyelid closure or blinking
- Cosmetic restoration is desired for symmetry and appearance
The upper and lower eyelids require precise reconstruction to maintain the eye’s moisture, protection, and visual comfort–making it essential to seek an oculoplastic expert.
Types of Eyelid Reconstruction
Dr. Erb customizes every repair to the patient’s anatomy and the location of the defect. Reconstruction may involve:
- Direct closure for small, simple wounds
- Skin flaps (borrowing tissue from nearby eyelid or cheek) for moderate-sized defects
- Full-thickness skin grafts (often from the upper eyelid or behind the ear)
- Cartilage or tarsal grafts to restore internal eyelid support
- Staged reconstruction for larger or more complex cases
The goal is always to restore both function and aesthetics while minimizing scarring and preventing long-term complications like ectropion or corneal exposure.
What to Expect from Reconstruction
- Procedure: May be done in-office under local anesthesia or at a surgery center
- Downtime: Most patients resume normal activity within 1-2 weeks
- Stitches: Typically removed in 5-7 days
- Follow-up: Dr. Erb monitors healing closely and personally
- Results: Improved symmetry, eyelid support, and function, with discreet or hidden scars
Your comfort and vision are top priorities. Dr. Erb’s goal is to protect your eyes while helping you look and feel like yourself again.
Frequently Asked Questions About Eyelid Reconstruction After MOHS
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Not necessarily. MOHS dermatologists focus on tumor removal, while oculoplastic surgeons like Dr. Erb specialize in eyelid reconstruction to restore both function and form.
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Yes, timing is important. Dr. Erb often coordinates directly with your MOHS surgeon to perform reconstruction immediately after tumor excision or within days.
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Dr. Erb uses hidden incisions and natural skin folds to minimize visible scarring. Most patients are pleased with how seamless their results look.
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Yes. Eyelid reconstruction following skin cancer is medically necessary and is generally covered by insurance. Our office will help coordinate approvals.
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Absolutely. Dr. Erb routinely reconstructs defects involving upper lids, lower lids, and even the corners of the eye (canthus).
Why Trust Dr. Melanie Ho Erb?
Dr. Erb is one of Southern California’s most trusted experts in eyelid reconstruction following skin cancer treatment. She works closely with dermatologists and MOHS surgeons to plan timely repairs–often performing surgery the same day or soon after MOHS excision.
Patients choose her for:
- Extensive experience with post-MOHS eyelid reconstruction
- Fellowship training in oculofacial plastic and reconstructive surgery (ASOPRS)
- Aesthetic awareness combined with meticulous surgical skill
- Natural-looking results that support long-term eyelid health
- A compassionate, team-based approach to patient care
Restore Form and Function After Mohs with a Trusted Oculoplastic Surgeon in Irvine
If you’ve had MOHS surgery near your eye or eyelid, trust your reconstruction to a surgeon who understands both the medical and aesthetic importance of this area. Dr. Erb offers expert post-skin cancer eyelid reconstruction in Irvine, with a caring touch and beautiful, functional results.
Schedule your consultation today to discuss next steps and feel confident in your healing journey.
Medically reviewed by Melanie Ho Erb, M.D. on