Look twice at eyelids

There are very few lower lid lashes compared to the upper lid and the lid margin is irregular and swollen.

Basal cell skin cancers can infiltrate an eyelid like this without causing any symptoms. Cases with anatomical distortion like this should be referred to an oculoplastic surgeon for careful biopsy and probable excision using Mohs margin controlled surgery. If a basal cell skin cancer is not picked up early it can advance along the lid and behind the eyeball into the orbit sometimes leading to exenteration of the eye.

Always specifically check the medial