Skin Cancer Around the Eyes: The Signs You Should Never Ignore
Updated: Jul 16
Each May, Skin Cancer Awareness Month reminds us of the importance of protecting our skin and recognising the early signs of skin cancer. While many people check areas such as the face, shoulders and arms, the delicate skin around the eyes is often overlooked.
As an oculoplastic surgeon, I regularly diagnose and treat skin cancers affecting the eyelids and surrounding tissues. Early detection is key, and recognising the warning signs can lead to simpler treatment and better outcomes.
Why Are the Eyelids at Risk?
The eyelids have some of the thinnest skin on the body and are exposed to ultraviolet (UV) radiation every day. Over time, cumulative sun exposure can damage skin cells, increasing the risk of developing skin cancer.
Although anyone can develop skin cancer, the risk is higher in people who:
Spend significant time outdoors.
Have fair skin or light-coloured eyes.
Burn easily in the sun.
Have a history of frequent sunburn.
Are over the age of 50.
Have previously had skin cancer.
Common Types of Eyelid Skin Cancer
The most common skin cancers affecting the eyelids include:
Basal Cell Carcinoma (BCC)This is the most common eyelid skin cancer. It usually grows slowly and rarely spreads to other parts of the body, but if left untreated it can invade nearby tissues and damage important structures around the eye.
Squamous Cell Carcinoma (SCC)Although less common, SCC can grow more quickly and has a greater potential to spread if not treated promptly.
MelanomaMelanoma is less common on the eyelids but is the most serious type of skin cancer. Any changing pigmented lesion around the eye should be assessed without delay.
Warning Signs You Shouldn't Ignore
Many eyelid skin cancers develop gradually and may initially appear harmless. It is important to seek medical advice if you notice:
A lump on the eyelid that does not heal.
A sore that repeatedly bleeds or forms a scab.
A pearly or shiny bump.
Thickened or crusty skin on the eyelid.
Loss of eyelashes in one area.
A mole or pigmented lesion that changes in size, shape or colour.
Persistent redness or irritation that does not improve.
If an eyelid lesion has been present for several weeks and is not healing, it should always be assessed by a healthcare professional.
Protecting the Skin Around Your Eyes
Simple measures can significantly reduce your risk of skin cancer:
Wear sunglasses that provide 100% UVA and UVB protection.
Choose a wide-brimmed hat when outdoors.
Apply broad-spectrum sunscreen to the face, including carefully around the eyelids using products suitable for sensitive skin.
Avoid prolonged sun exposure during the middle of the day, particularly in spring and summer.
Perform regular skin checks and become familiar with any existing moles or skin lesions.
Remember that UV rays can damage your skin even on cloudy days.
How Is Eyelid Skin Cancer Treated?
Treatment depends on the type, size and location of the skin cancer. In many cases, surgery is the most effective option.
As an oculoplastic surgeon, my role is not only to remove the cancer completely but also to reconstruct the eyelid where necessary. Because the eyelids are essential for protecting the eye and maintaining vision, careful reconstruction aims to restore both function and appearance.
Every treatment plan is tailored to the individual, ensuring the best possible outcome while preserving the health of the eye.
When Should You Seek Specialist Advice?
Arrange an assessment if you notice:
A new eyelid lump that persists.
A skin lesion that bleeds, crusts or does not heal.
Changes in an existing mole around the eye.
Loss of eyelashes associated with a skin lesion.
Any persistent change in the appearance of your eyelid.
It is always better to have a suspicious lesion assessed early than to wait for it to change further.
A Final Thought
Skin Cancer Awareness Month is an important reminder to pay attention to every part of your skin, including the delicate area around your eyes. Most eyelid skin cancers can be treated successfully when detected early, making prompt assessment essential.
If you have noticed a persistent lump, sore or changing lesion on or around your eyelid, don't ignore it. Early diagnosis and treatment can help protect both your eye health and your long-term wellbeing.
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