We report a woman who had a recurrent trichofolliculoma on the upper e
yelid margin. Only three cases of this benign tumor on the eyelid have
been reported, and no recurrence in this location had been noted in t
he literature. The lesion, present for 6 years, had been excised twice
previously (3 and 4 years before), recurred, and had been injected wi
th a steroid preparation 2 years earlier. Lashes, both normal-looking
and immature, arose from the center area of this lesion, and telangiec
tatic vessels were on its surface. Full-thickness wedge resection was
used to excise the lesion completely. Complete primary excision of tri
chofolliculoma is important, and local steroid preparations should not
be used.