When a swelling grows on the eyelid, the head of the five senses, it not only affects the person’s appearance, but it is also important to be alert to the potential threat its nature poses to the body. Seemingly small eyelid masses can lead to different outcomes depending on their nature. Eyelid tumors are classified as benign or malignant. While the vast majority of malignant or benign eyelid tumors are of epithelial origin and are divided into melanotic and nonmelanotic tumors, tumors originating from the appendages are rare. Basal cell carcinoma is the most common malignant tumor of the eyelid, and the reported trend toward a younger incidence of this disease should be of great concern to clinicians and patients. For non-inflammatory masses that have a long course, are prone to ulceration and bleeding, or have sudden and accelerated growth, it is important to be vigilant and have them removed and pathologically examined as early as possible. When removing the tumor, make sure the swelling is completely removed. And further frozen sections of the edges of the diseased tissue are probed to ensure that the tumor is completely removed. As an oculoplastic specialty, we consider more practical issues from the patient’s point of view. We use the patient’s own tissues or homologous restorative materials flexibly to perform eyelid reconstruction while completely removing the tumor, using a delicate surgical plan and procedure to repair the eyelid defect caused by the eyelid tumor removal and maintain the normal function and appearance of the eyelid. Successful eyelid reconstruction plays an important role in the stability of the ocular surface and the protection of the eyeball after surgery.