PURPOSE The modified Hughes procedure is used to reconstruct full-thickness lower eyelid defects. A tarsoconjunctival flap from the upper eyelid replaces the posterior lamella, whereas a skin graft, a skin flap, or a skin-muscle flap restores the anterior lamella. The conjunctival pedicle from the upper eyelid is divided after vascularization of the reconstructed lower eyelid is judged to be ad...

Introduction Cosmetic and plastic surgery procedures, such as liposuction, rhinoplasty (nose reshaping), and breast augmentation, and minimally invasive procedures, such as Botox injections and chemical peels, continue to increase in popularity in the West (American Society of Plastic Surgeons 2014). According to the American Society of Plastic Surgeons (ASPS), the world’s largest organization ...

BACKGROUND Various techniques have been proposed for reconstruction of the eyelid anterior lamella after carcinoma excision: among these are the transposition of skin flaps, and full-thickness skin grafts or combination of these two. AIM To present our experience in eyelid reconstruction with full-thickness skin grafts and to assess the aesthetic and functional outcomes. PATIENTS AND METHOD...

439 to the upper eyelid wrinkle; from the upper eyelid wrinkle to the upper eyelid borderline; the eyelash area; the lower eyelid boundary to the lower eyelid wrinkle; the isthmus area; the medial area of the eyelid; the forehead area close to the eyebrow; and the nose and canthus. Most people with congenital melanocytic nevus in the eyelid or the periorbital area have considerable functional a...

Cutaneous carcinomas of the cheek may involve the epidermis, dermis, and subcutaneous tissues that overlie the superficial musculo-aponeurotic system (SMAS) (in fact skin cancer can involve even deeper structures of the face) [1, 2]. The cheek has bordering subunits that help dictate the primary goal in cheek reconstruction: avoidance of deformation of the surrounding structures. Surgeons must ...

BACKGROUND The results of a cohort of patients treated at one institution for upper eyelid reconstruction with the switch flap method after a defect due to excision of malignant tumor were reviewed. METHODS A retrospective data file review of all patients who had undergone total upper eyelid reconstruction with the switch flap method was conducted at the Saga University Hospital between April...

To describe a modified surgical procedure that uses a combination of the tarsoconjunctival flap, orbicularis myocutaneous advancement flap, and paranasal-island flap to correct extensive full-thickness lower eyelid defects in functioning eyes.From May 2010 to December 2013, a total of 15 patients had reconstructive surgeries of large to giant lower eyelid defect, with an average 19-month follow...

Eyelid burns occur in about 10% of thermal injuries and pose a considerable challenge for the reconstructive surgeon. A consensus on a treatment regime has not been reached and plastic surgeons are divided on the subject. A case of severe bilateral eyelid burns was treated with full- and split-thickness skin grafts. The patient was first operated at 2 years post-injury, and a total of 5 operati...

Total or near-total upper eyelid reconstruction with a mucosalized tarsal graft and overlying bipedicled myocutaneous flap was performed on 12 patients. This technique offers several advantages over other reconstructive methods: (1) the opportunity for immediate visual rehabilitation through a single-staged procedure without obscuration of the visual axis, (2) preservation of eyelid blinking an...