Lower eyelid reconstruction with upper eyelid transpositional grafts

A procedure of lower eyelid reconstruction is described using a transpositional tarsalconjunctival graft from the mid-portion of the ipsilateral upper eyelid, as well as a transpositional skin-muscle flap from the supratarsal area. This technique confines the resconstruction to the local area, provides adequate support, and maintains the upward curve of the lateral aspect of the lower eyelid as well as a sharp canthal angle.