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Lower eyelid edema
Lower eyelid edema
Edema of the lower eyelid is frequently seen after advancement flaps are performed on the eyelids and upper cheeks (Fig. 21-24). Warning patients of this eventuality may help mitigate anxiety and distress in the postoperative period, especially as this process generally resolves spontaneously over a period of months.
Figure 21-24. Defect after removal of basal cell carcinoma on the medial cheek and lower eyelid after two stages of Mohs surgery (A). The wound was reconstructed with an O-to-L type advancement flap, and no immediate postoperative ectropion was present even with the patient placing stress on the anterior lamella by opening his eyes and mouth (B). At 10 weeks, he continued to have lower eyelid edema (C). This resolved spontaneously over the following 3 months, and he declined further in-office follow-up.