The blepharoplasty rotational flap

Patients with large benign upper eyelid lesions and dermatochalasis are optimally treated with excision of their lesions and a blepharoplasty. I have devised a myocutaneous flap to reconstruct defects created by excising upper eyelid lesions peripheral to the blepharoplasty incision lines. The flap is created from skin and muscle that would normally be excised during the blepharoplasty. This technique results in a well-defined upper eyelid crease, without eyelid retraction or epicanthal fold formation.