Learning Objectives: After reading this article, the participant should be able to: 1. Demonstrate an anatomic approach to eyelid reconstruction. 2. Manage common and complex eyelid defects by utilizing a reconstructive strategy outlined in the article.
Summary: Reconstruction of the eyelids after excision of skin cancer can be challenging. Knowledge of surgical eyelid anatomy and appropriate preoperative planning are critical in order to perform eyelid reconstruction and minimize complications and the need for reoperation. The fundamental principle for full-thickness eyelid reconstruction is based on reconstructing the subunits of the eyelid, including the anterior and posterior lamellae as well as the tarsoligamentous sling.