Lower Eyelid Full-Thickness Lid Margin Repair for 8-mm Defect Following Mohs Surgery for Basal Cell Carcinoma

1. Introduction

2. Surgical Approach

3. Pentagonal Incisions to Extend Vertical Aspect of Wound Beyond Tarsus

4. Full-Thickness Excision to Prepare Wound for Closure

5. Wound Closure with Mersilene Sutures

1. Vertical Mattress Through Tarsus
2. Vertical Mattress Through Orbicularis Muscle
3. Tie Sutures Leaving Long Ends

6. Skin and Orbicularis Muscle Closure Vertically with Running Plain Gut Suture

1. Incorporate and Secure Long Mersilene Ends

7. Post-op Remarks