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Repair of the Medial Canthus Following Mohs Micrographic Surgery

Humphreys, Tatyana R. MD

doi: 10.1097/01.DSS.0000452739.00408.64
Original Article

BACKGROUND The medial canthus poses unique reconstructive challenges because of its anatomy and contour. The reconstructive goal should be preservation of the natural concavity that defines it because even small alterations can result in perceptible asymmetry.

OBJECTIVE To present the anatomy of this unique cosmetic subunit and review reconstructive options that preserve contour and function.

MATERIALS AND METHODS A variety of reconstructive approaches for different subunits of the medial canthus are described and discussed. Technical considerations and complications are discussed.

RESULTS The choice of repair will depend on the relative location of the defect on the medial canthus and the proximity to adjacent cosmetic subunits.

CONCLUSION Understanding of the unique contour and anatomy of the medial canthus is essential to choosing the best repair option that preserves contour and symmetry.

Department of Dermatology, Thomas Jefferson University, Philadelphia, Pennsylvania

Address correspondence and reprint requests to: Tatyana R. Humphreys, MD, Main Line Center for Skin Surgery, 191 Presidential Boulevard, Suite LN24, Bala Cynwyd, PA 19004, or e-mail:

The author has indicated no significant interest with commercial supporters.

© 2014 by the American Society for Dermatologic Surgery, Inc. Published by Lippincott Williams & Wilkins
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