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Eye lid malignant tumor requires extensive excision and reconstruction. Radicality is the most important operative treatment. The modality to restore the defect can be vary from simple skin graft, local flap, pedicle island flap or free vascularized flap. We reported a case of male 82 y.o. suffered from left upper and lower eye lid tumor. Wide excision was taken radically up to the periosteum of lateral eye socket. The eye ball was preserved since the visual acuity still normal. The defect wide was 10x15 cm. Lateral forehead flap reconstruction was done. Full thickness skin grafting was used to cover donor site in forehead region. The tumor was confirmed as squamous cell carcinoma, with free tumor margin incision. One month after procedure, the flap was viable, followed with eye lid reconstruction. Visual acuity function normally. Six months follow up, there is no local recurrence.