Eyelid Reconstruction Following Skin Cancer

Functional oculoplastic surgery focuses on the eyelids, eye sockets and facial structures around the eye area. It’s a highly specialised surgical procedure combining ophthalmology and plastic surgery. The surgeries are also delicate and involve operating on incredibly fine structures.


While malignant or pre-malignant skin tumours are relatively uncommon overall, the eyelid is a frequent site for such occurrences due to various factors. The skin surrounding the eye is thin and susceptible to sun damage, often overlooked when applying sun protection cream.

For diagnosis and surgical management of cancer around the eye, it is essential that you are treated by an oculoplastic surgeon collaborating with a dermatologist specialising in Mohs Micrographic Surgery. This joint approach significantly reduces the risk of tumour recurrence, with less than a 0.5% chance for the most common periocular cancer, Basal Cell Carcinoma.

Once the tumour is safely removed, the reconstruction of the eyelid and the surrounding eye tissues is a meticulous process. This procedure requires careful planning and execution by the oculoplastic team to protect both the aesthetic appearance of the area and function.

Eyelid tumours vary in size and location, leading to different recovery times and functional outcomes. Before undergoing surgery, patients should receive thorough counselling. Additionally, they can expect a personalised plan consisting of regular post-surgical monitoring and support for the days and weeks after treatment.

Oculoplastic surgeon London


Dr Nick Koutroumanos

Dr Nick Koutroumanos is a London-based Ophthalmic & Oculoplastic surgeon, with particular subspecialty expertise in ophthalmic plastic & reconstructive eyelid, orbital and lacrimal surgery.

His private practice, based at The Hospital of St John & St Elizabeth in St John’s Wood complements his work in charge of a large NHS oculoplastics practice at the Royal Free Hospital in Hampstead.

A qualified senior trainer and Royal College Examiner in ophthalmic plastic surgery, cataract surgery and general ophthalmology, he runs an Oculoplastics Fellowship training programme that is highly sought-after by both UK and international candidates.

Kind Words from Our Patients


A true perfectionist

Words are not enough to express my sincere gratitude for the care and dedication Dr Koutroumanos put into my journey. I felt safe and secure in his hands. This is someone who truly cares about outcome and ethics of practice. A true perfectionist. I would not hesitate to wholeheartedly recommend him.

100% worth it

I had surgery a few days ago with Dr Koutroumanos for congenital ptosis. It’s early days but I don’t think it’s too early to say the results will be life changing for me in terms of confidence levels. I struggled at school due to the condition and have learnt to live with it – that is until I saw the doctor who was reassuring from the start and has just done the best job. 100% worth it and amazing to know I was in such safe hands. I can’t thank him enough.

I’m really happy with my results

I’ve recently had a brow lift and blepharoplasty with Mr N Koutroumanos. The whole process from start to finish was handled professionally and each process was very informative. I’m still at the recovery stage, so far I’m really happy with my results. Highly recommend using Mr N Koutroumanos services.