Related Experiment Video
Updated: Apr 3, 2026
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Total Upper and Lower Eyelid Reconstruction: A Rare Procedure--A Report of Two Cases
Baptiste Bertrand1, Thomas Roger Colson, Claire Baptista
1Marseille and Nice, France From the Department of Plastic Surgery, La Conception Hospital, the Department of Plastic Surgery, North Hospital, and the Department of Pediatric Plastic Surgery, La Timone Hospital, Assitance Public-Hôpitaux de Marseille, Aix-Marseille Université; and the Department of Plastic Surgery, St. Roch Hospital.
Unlabelled:
Reconstruction after total amputation of the upper and lower eyelids with preserved globe is rare. The primary goal is immediate corneal protection. The second goal is to restore mobility, occlusion, and facial symmetry. Two women had full-thickness excision of both upper and lower eyelids to treat a melanoma. The reconstruction method required four steps over a period of 5 months. A buccal mucosal graft was used to recreate the conjunctival lining, and an oblique forehead flap was used to recreate the skin. Resection of the flap and replacement by a full-thickness skin graft made it possible to recreate a thin and mobile upper eyelid. Visual acuity remained unchanged, and the eyelids remained functional despite a degree of ptosis and lower eyelid retraction.
Clinical Question/Level Of Evidence:
Therapeutic, V.
