ABSTRACT
If the defect is 5-10 mm (0.2-0.4 in) in horizontal diameter and if the edges can be manually brought together with the minimum amount of tension, a primary closure can be performed (196-200).
After tumor removal, the defect in the lower lid should be square or rectangular. Once all the margins are read as free of tumor, a triangle of skin and subcutaneous tissue inferior to the original defect is removed. This is done to eliminate wrinkling when the closure is performed. The triangle is base-up with the base of the triangle being the inferior margin of the defect.
