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Upper Eyelid Reconstruction Using a Blepharoplasty Flap
Katherine Anne McVeigh1, Richard Caesar
1Cheltenham General Hospital, Cheltenham, Gloucestershire, United Kingdom.
Ophthalmic Plastic and Reconstructive Surgery
|February 2, 2017
Summary
The blepharoplasty flap technique offers excellent cosmetic results for upper eyelid defects. This straightforward surgical advancement flap is under-recognized but has potential for wide adoption in practice.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Dermatology
Background:
- Surgical repair of upper eyelid defects often requires specialized techniques.
- Broad-based lesions between the eyelid crease and eyelashes present unique reconstruction challenges.
Purpose of the Study:
- To introduce and increase awareness of the blepharoplasty flap technique for upper eyelid defect repair.
- To describe an under-recognized surgical method for reconstructing specific eyelid lesions.
Main Methods:
- Marking the eyelid crease and dividing the eyelid into quarters.
- Excising the lesion and adjacent tissue in a specific pattern.
- Fashioning an advancement flap from excess upper eyelid skin for inferiorly directed closure.
Main Results:
- Excellent postoperative cosmetic outcomes were observed.
- The technique effectively utilizes tissue typically discarded during blepharoplasty.
Conclusions:
- The blepharoplasty flap is a simple surgical advancement flap technique.
- This method is valuable for repairing upper eyelid defects resulting from lesion excision.
- The technique's simplicity suggests potential for widespread adoption in surgical practice.
