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The McGregor flap for lower eyelid defect reconstruction
Andrea Paradisi1, Irina Ciobotariu1, Massimo Rocchetti2
1Dermatology, Department of Medicine and Translational Surgery, Università Cattolica del Sacro Cuore, Rome; Operational Unit of Dermatology, Department of Medical and Surgical Sciences, Fondazione Policlinico Universitario A. Gemelli, Rome.
Dermatology Reports
|March 11, 2026
Summary
Basal cell carcinoma on the eyelid requires careful surgical removal. This case discusses the excision of a 1.6x1 cm nodular basal cell carcinoma from the right lower eyelid.
Area of Science:
- Ophthalmology
- Dermatology
- Surgical Oncology
Background:
- Basal cell carcinoma (BCC) is the most common type of skin cancer.
- The eyelid is a sensitive area where BCC can affect vision and appearance.
- Early and complete surgical excision is crucial for successful BCC treatment.
Purpose of the Study:
- To describe the surgical approach for removing a basal cell carcinoma on the lower eyelid.
- To highlight considerations for preserving eyelid function and aesthetics.
Main Methods:
- Clinical presentation of a 58-year-old male with a nodular BCC on the right lower eyelid.
- Surgical planning for lesion excision.
- Discussion of potential surgical techniques.
Main Results:
- The lesion measured 1.6x1 cm.
- Surgical excision was the planned treatment modality.
Conclusions:
- Surgical excision remains the gold standard for eyelid BCC removal.
- Technique selection depends on lesion size, location, and depth.
- Complete removal with clear margins is essential for preventing recurrence.
