Purpose: To evaluate the effectiveness of a supraciliary approach for upper eyelid margin excisional biopsies. Methods: A retrospective, comparative case series. A 2-year review of medical records of patients who underwent the procedure was performed. Data collected included the dates and type of procedure(s), review of operative and pathology reports, dates of follow up, findings of clinical examination, review of photographs, and postoperative complications. The main outcome measure was to assess both the functional and aesthetic outcomes of the procedure. Results: Six patients with a minimum of 3-month follow-up were included in the study. In each case, eyelid contour and function was preserved, and scarring was nearly unnoticeable. No postoperative complications occurred. CONCLUSIONS:: The study demonstrates the effectiveness of this surgical approach and as an alternative to more common techniques.
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