Lower Eyelid Orbicularis Oculi Myocutaneous Flap: A Feasible Technique for Full Thickness Upper Eyelid Reconstruction

Lower eyelid reconstruction following a traumatic full thickness loss.

Eyelid reconstruction is complex and challenging since it is not only for structural and functional restoration, but also for an acceptable aesthetic result. In full thickness eyelid injuries, it will involve both anterior and posterior lamella. Therefore, when reconstructing the defect, it requires at least two layers; one will be a flap with blood supply, and the other can be a free graft. In...

Histopathologic findings of the orbicularis oculi in upper eyelid aging: total or minimal excision of orbicularis oculi in upper blepharoplasty.

OBJECTIVE It is well known that gradual loss of elastic fibers and skin relaxation cause the aging process, but whether changes in the orbicularis oculi muscle may contribute to the aging of the upper eyelid is not known. The aim of the present study was to use histopathologic examination to investigate whether the orbicularis oculi contributes to upper eyelid aging. METHODS Full-thickness up...

Chimeric Upper Eyelid--Supraorbital Flap Reconstruction

Wide local excision of a lesion that encompasses several facial subunits including medial canthus, nasal sidewall, and cheek provides multiple aesthetic and reconstructive challenges to restore both orbital function as well as appearance. We report the first successful use of a chimeric upper eyelid--supraorbital flap to reconstruct a facial defect, secondary to a wide local excision of the low...

Bridge flap reconstruction of the lower eyelid.

Although numerous conditions may result in lo,s of eyelid tissue, the aetiological agent generally concerned is one of trauma, tumour, or congenital anomaly. Ideally, wherever possible, this is rectified by primary anastomo3is with or without cantholysis. Howevcr, in the face of a large deficit, other techniques are employed (Smith, I959; Mustarde, I966; Smith and English, I970). In such circum...

Upper eyelid approach to lower eyelid blepharoplasty.