Angular artery flap for total reconstruction of the lower eyelid

An island flap of the skin and soft tissues of the nasojugal fold and lip can be based on the superior end of the angular artery. This flap, lined with mucous membrane, was a satisfactory means of reconstructing the lower eyelid in a patient with inadequate skin for a cheek flap. A disadvantage was the need to trim the bulkiness of the flap in subsequent stages.