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Upper and Lower Eyelid Reconstruction

Codner, Mark A. M.D.; McCord, Clinton D. M.D.; Mejia, Juan Diego M.D.; Lalonde, Don M.D.

Plastic and Reconstructive Surgery: November 2010 - Volume 126 - Issue 5 - p 231e-245e
doi: 10.1097/PRS.0b013e3181eff70e
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Learning Objectives: After reading this article, the participant should be able to: 1. Learn an anatomical basis for eyelid reconstruction. 2. Present the most common eyelid defects and reconstructive options for repair.

Summary: Reconstruction of the eyelids can range from simple repair to the integration of multiple complex procedures. Knowledge of eyelid anatomy, adequate preoperative planning, and meticulous surgical technique will optimize the anatomical and functional result. The purpose of this article is to review the relevant anatomy for eyelid reconstruction, to simplify defect analysis and preoperative planning, and to provide options for reconstruction of this complex area.


Atlanta, Ga.; Medellin, Colombia; and Saint John, New Brunswick, Canada

From the Department of Plastic Surgery, Emory University; private practice; and the Department of Plastic Surgery, Dalhousie University.

Received for publication October 26, 2009; accepted January 19, 2010.

Disclosures: Dr. Codner receives finances for research and consulting from Mentor Corporation and receives royalties for books published by Quality Medical Publishing and Elsevier. Dr. McCord receives royalties for books published by Quality Medical Publishing. Dr. Mejia has no commercial associations, financial interests, or conflicts of interest to declare. Dr. Lalonde is a paid consultant for ASSI Instruments.

Related Video content is available for this article. The videos can be found under the “Related Videos” section of the full-text article.

Mark A. Codner, M.D., Paces Plastic Surgery, 3200 Downwood Circle, Suite 640, Atlanta, Ga. 30327,

©2010American Society of Plastic Surgeons