Eyelid lacerations may occur as a result of numerous causes including: dog bites, blunt impact, car and boating accidents, falls, fishing accidents, exploding fireworks, and burns to name just a few. Because the eyelid is made up of loose skin, muscle and fat and is not protected by bone it is susceptible to injury. Often lacerations of the eyelid occur as a result of the soft tissue being “hooked” and pulled in a lateral direction by a branch of a tree, a dog bite, or a fist. In addition, a lateral force vector will often pull and rip the tear ducts from their attachments near the inner aspect of the eyelids. Reconstruction eyelid lacerations requires a detailed knowledge of anatomy of both the eyelid and tear ducts and requires meticulous surgical detail to put “the pieces of the puzzle back together again.” If the eyelids and tear ducts are not repaired with attention to great detail then notches and scars will be apparent along the margin of the eyelids and permanent tearing may occur. Depending upon the extent of the injury, the surgery will take place under intravenous sedation or general anesthesia, particularly if the tear duct is involved in the injury. The patient is commonly treated with oral and topical antibiotics during the healing period to ensure that they won’t develop infections from open wounds. The sutures used to repair the lacerations remain in place for approximately two weeks-a period of time that allows adequate healing of the eyelid margin.