Full-Thickness Eyelid Biopsy

Clinical Features and Management of Eyelid Malignancies

“…The apex should extend through the entirety of the tarsus to avoid eyelid contour abnormalities including notching and kinking. 30 Despite careful approximation of the eyelid edges, the vertical wound results in a conspicuous scar and the triangular apex can have skin redundancy or form a "dog-ear". A curvilinear or "lazy" pentagonal wedge excision design may achieve tarsal alignment while reducing cutaneous redundancy and keep the incision aligned with the relaxed facial skin tension lines.…”