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Published on: December 5, 2025
Bilobed flap reconstruction in infraorbital skin defects
M Oguz Yenidunya1, M Erol Demirseren, Candemir Ceran
1Bilkent, Ankara, Turkey From the Department of Plastic, Reconstructive and Aesthetic Surgery, Ataturk Training and Research Hospital.
Plastic and Reconstructive Surgery
|January 27, 2007
Summary
The superiorly based bilobed flap is an effective technique for reconstructing infraorbital skin defects, preventing lower eyelid complications like ectropion and ensuring aesthetic facial results.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
Background:
- The infraorbital region is crucial for facial aesthetics.
- Defects in this area can cause lower lid deformity and ectropion.
Purpose of the Study:
- To present the experience with bilobed flaps for infraorbital defect reconstruction.
- To evaluate the efficacy of this technique in preserving aesthetics and function.
Main Methods:
- Reconstruction of 15 infraorbital skin defects using bilobed flaps from zygomatic and lateral cheek regions.
- Procedures performed under local anesthesia for various skin pathologies including basal cell carcinoma, squamous cell carcinoma, melanoma, and hemangioma.
- Emphasis on using a superiorly based bilobed flap to prevent ectropion and facial distortion.
Main Results:
- Satisfactory outcomes achieved in all 15 patients.
- Excellent results noted in terms of color match, texture, and functional properties of the reconstructed area.
Conclusions:
- The superiorly based bilobed flap is a reliable method for infraorbital defect reconstruction.
- This technique should be considered for local flap planning in the infraorbital region to maintain aesthetic and functional integrity.