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Eyelid Reconstruction

Alghoul, Mohammed M.D.; Pacella, Salvatore J. M.D., M.B.A.; McClellan, W. Thomas M.D.; Codner, Mark A. M.D.

Plastic and Reconstructive Surgery: August 2013 - Volume 132 - Issue 2 - p 288e–302e
doi: 10.1097/PRS.0b013e3182958e6b
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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.

Atlanta, Ga.; La Jolla, Calif.; and Morgantown, W.Va.

From private practice; the Division of Plastic and Reconstructive Surgery, Scripps Clinic and Research Institute; the Division of Plastic Surgery, West Virginia University; and Emory University.

Received for publication May 16, 2012; accepted May 23, 2012.

Disclosure: Drs. Alghoul and McClellan have no commercial associations, financial interests, or conflicts of interest. Dr. Pacella is on the speaker’s bureau for Lifecell Corporation. Dr. Codner receives finances for research and consulting from Mentor and Syneron corporations and receives royalties for books published by Quality Medical Publishing and Elsevier. All conflicts have been reviewed and managed by accreditation volunteers.

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Mark A. Codner, M.D.,Mark Codner Plastic Surgery, 1800 Howell Mill Road, Suite 140, Atlanta, Ga. 30318,

©2013American Society of Plastic Surgeons