Related Experiment Video
Updated: Jun 18, 2026
03:59
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
A horizontal V-Y advancement lower eyelid flap
Daniel Marchac1, Axel de Lange, Hasnaa Bine-Bine
1Paris, France; Brussels, Belgium; and Rabat, Morocco.
Plastic and Reconstructive Surgery
|November 26, 2009
Summary
The horizontal V-Y advancement flap is a highly effective technique for lower eyelid repair, particularly after basal cell carcinoma removal. This method offers excellent aesthetic outcomes and rapid recovery, often resulting in nearly invisible repairs.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Dermatologic Surgery
Background:
- The horizontal V-Y advancement flap for lower eyelid repair is notably absent from standard eyelid repair textbooks.
- Authors report positive clinical experience with this subcutaneous pedicled flap technique.
Purpose of the Study:
- To evaluate the efficacy and aesthetic outcomes of the horizontal V-Y advancement flap in lower eyelid defect reconstruction.
- To highlight the advantages of using adjacent eyelid skin for lower eyelid repairs.
Main Methods:
- A retrospective study of 21 patients (13 female, 8 male; aged 37-98 years) undergoing lower eyelid repair between 2000 and 2006.
- Defects were primarily due to basal cell carcinoma (20 cases) and melanoma (1 case), with mean defect size of 20 mm.
Main Results:
- All 21 horizontal V-Y advancement flaps survived postoperatively.
- Excellent aesthetic results were achieved in 17 cases (81%).
- Patients experienced typically rapid postoperative recovery.
Conclusions:
- The horizontal V-Y advancement flap utilizes adjacent eyelid skin, matching the thin texture of the lower eyelid.
- This technique is preferable to grafts or tissues from other facial areas for lower eyelid reconstruction, especially after basal cell carcinoma excision.
- The V-Y flap provides satisfactory results, often yielding nearly invisible repairs.
Related Concept Videos
01:17Accessory Structures of the Eye
Optical perception, or vision, is an extraordinary sense dependent on converting light signals received via the ocular organs. These organs, known as eyes, are securely positioned within the bony cavities of the skull, called orbits. The orbits serve a dual purpose: a protective shield for the ocular globes and a stable attachment point for the soft ocular tissues. The eye's external protective mechanisms include the eyelids, which are edged with lashes that act as a barrier against foreign...
01:20Muscles of the Eye
The muscles of the eye are sophisticated structures that control eye movement and focus, allowing for the precise and rapid adjustments necessary for vision. The human eye is controlled by ten muscles — six extraocular muscles, three intraocular muscles, and one primary eyelid retractor muscle.
Extraocular Muscles
The six extraocular muscles surround the eyeball and control its movements. They are responsible for a wide range of eye motions, including looking up, down, left, right, and rotating...
Extraocular Muscles
The six extraocular muscles surround the eyeball and control its movements. They are responsible for a wide range of eye motions, including looking up, down, left, right, and rotating...