Benign and cancerous tumors of the eyelid are common. In sunny climates, the lower eyelids are a common location for skin cancers. New lesions of the eyelids and eyelid margins should be carefully assessed and frequently need to be biopsied. In general, early detection yields excellent results with removal and reconstruction. In advanced cases, more complex reconstruction may require grafting or rotation flaps to fully repair the area removed with the tumor.