Fig. 3

Clinical images of two cases, both before malignant tumor excision and several months after Hughes flap division. a A 75-year-old patient with an ulcerative lower lid tumor in the left eye histopathologically proving to be a basal cell carcinoma (arrow: horizontal extent of the lid defect following pR0 resection). b Full recovery with normal lid function, normal lid position, and satisfactory cosmesis 30 months after Hughes flap division. c A 77-year-old male patient with a nodular lower lid tumor and focal eyelash loss in the right eye. Histopathological evaluation revealed a basal cell carcinoma. d Normal lower lid function and good esthetical outcome 10 months after separation of the Hughes flap