Mohs’ surgery: This technique involves removing the visible tumor and small fragments of the edge of where the tumor existed, and will typically involve another physician as well as Dr. Paul. Each small fragment of the tumor will be examined under a microscope until all cancer is removed. This procedure is most often used for a larger tumor in hard-to-reach place, and for cancer that has come back to the same place. However, it is increasingly becoming a preferred technique for removing an eyelid tumor. After Mohs’ surgery, the patient will undergo reconstructive surgery with Dr. Paul, who is an expertly trained oculofacial plastic surgery specialist specializing in Austin facial reconstruction.
Enucleation: Although rare, it is sometimes medically necessary to remove the eye due to the size and extent of the tumor. Because of this visual loss, a person with one eye may have trouble with depth perception. To fill the area left by the missing eye, Dr. Paul will refer the patient to a specialist who is an expert in prosthetics. The patient will then get fitted for a prosthesis (artificial eye) which is meant to look and behave almost the same as a natural eye. For example, the artificial eye will move along with the person’s remaining eye, just not as much as a natural eye moves.
Biopsy: A surgical biopsy may remove part of the tumor (incisional) or the entire tumor (excisional). If the tumor is found to be cancerous, and Dr. Paul has managed to remove a sufficient margin of healthy tissue along with the tumor, an excisional biopsy may be the only treatment needed.
Reconstructive surgery: Many patients in the area who have eyelid cancer require Austin facial reconstruction surgery. Reconstructive surgery differs from cosmetic surgery in that it is generally performed to improve eye function, although it may also be done to approximate a normal appearance. Often, multiple surgeries are done and spread out over a period of time.
Radiation: Radiation therapy may be used for a cancer that is hard to treat with surgery and several treatments may be needed. If radiation therapy is required, Dr. Paul will likely discuss a few options with you including the involvement of an oncology specialist to assist in your comprehensive care.