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Upper Eyelid Reconstruction Using a Blepharoplasty Flap

McVeigh, Katherine Anne M.R.C.Ophth.; Caesar, Richard M.A., M.B., B.Chir., F.R.C.Ophth.

Ophthalmic Plastic and Reconstructive Surgery: March/April 2017 - Volume 33 - Issue 2 - p 147–149
doi: 10.1097/IOP.0000000000000856

Purpose: The blepharoplasty flap is a relatively simple but under-recognized surgical technique for repairing defects that result from excision of broad-based lesions on the upper eyelid that lie between the eyelid crease and the eyelashes. As this has not been previously published in the literature, the authors aim to increase the awareness of this technique.

Methods: The eyelid crease is marked. A line is drawn perpendicular to the crease line along the aspect of the lesion closest to the centre of the eyelid, dividing the eyelid into 4 quarters. The lesion is excised along with the area lying diagonally. An advancement flap is then fashioned from excess skin of the upper eyelid and moved inferiorly to close the defect.

Results: The resulting cosmetic results seen postoperatively have been excellent.

Conclusions: The blepharoplasty flap is a style of surgical advancement flap that utilizes the tissue that would normally be excised during blepharoplasty. This straightforward technique can prove useful in the surgical repertoire due to its potential to be widely adopted in surgical practice.

The blepharoplasty flap is a surgical technique for repairing defects following excision of a broad-based lesion on the upper eyelid by fashioning an advancement flap from redundant tissue normally excised during blepharoplasty, producing excellent cosmetic outcomes.Supplemental Digital Content is available in the text.

Cheltenham General Hospital, Cheltenham, Gloucestershire, United Kingdom

Accepted for publication December 2, 2016.

Presented at European Society of Ophthalmic Plastic and Reconstructive Surgery. Poster and video presentation: Concert Hall on September 16, 2016 in Athens, Greece.


Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s website (

The authors have no financial or conflicts of interest to disclose.

Address correspondence and reprint requests to Katherine Anne McVeigh, 19 Elton Lane, Bristol BS7 8AB, United Kingdom. E-mail:

© 2017 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.