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Updated: Jun 18, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
The Tripier reverse flap for reconstruction of the upper eyelid
Giovanni Verna1, Filippo Boriani, Antonio Taveggia
1Department of Plastic Reconstructive and Aesthetic Surgery, University of Turin, Turin, Italy.
Introduction:
The Tripier flap is a bipedicled bridge-shaped flap, originally designed on the upper eyelid. The classically described use was for reconstruction of split-thickness defects of the lower eyelid. In the literature no mention exists of bipedicled flaps from the lower eyelid for reconstructing the upper.
Case Report And Surgical Technique:
Authors report a case of a partial thickness defect in the upper eyelid, reconstructed through a bipedicled bridge-shaped flap from the lower eyelid. The reconstructed lid healed uneventfully and 6 months' follow up is satisfactory with regard to reconstruction.
Conclusion:
The reverse Tripier flap is therefore a valid technique for the repair of the upper eyelid when other options are not feasible.
