Modified Tripier flap for lateral eyelid reconstructions

Eyelid defects can present many reconstructive challenges to surgeons; it is essential to maintain the function of the eyelid while avoiding tension vectors on the free margin, which could result in eyelid retraction. Thus, local skin flaps are often the closure option of choice for defects of the lateral eyelid. The Tripier flap was the first innervated myocutaneous flap to be reported, and was used for lateral lower eyelid repairs. The Tripier flap is a transposition flap utilizing redundant tissue on the upper eyelid to repair defects of the lateral inferior eyelid. The authors describe Their technique for the single-pedicle Tripier flap, which does not rely on the inclusion of orbicularis muscle or innervation. This modified Triper flap is a valuable addition to the reconstructive armamentarium of the dermatologic surgeon.