A full-thickness wedge resection is a standard approach for removal of lesions with involvement of the eyelid margin. Wedge resection and primary closure can be accomplished following resection of up to 33% of the eyelid width. a. Pentagonal area for wedge resection is marked. b. Braided sutures placed for initial closure, creating alignment of the tarsal plate and alignment of the eyelid margin structures, namely the gray line and lash line. c. Sutures tied down, creating proper alignment of tarsal plate and eyelid margin structures. d. Skin closure performed and used to incorporate tails of eyelid margin sutures, to prevent them from abrading the cornea.