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Somenek. Plast Aesthet Res 2022;9:16 Plastic and
DOI: 10.20517/2347-9264.2021.84
Aesthetic Research

Review Open Access

Eyelid defect reconstruction

Michael Somenek
Advanced Plastic Surgery, Washington, DC 20037, USA.
Correspondence to: Dr. Michael Somenek, Advanced Plastic Surgery, 2440 M Street NW Suite 507, Washington, DC 20037,
USA. E-mail: drsomenek@spmeddc.com

How to cite this article: Somenek M. Eyelid defect reconstruction. Plast Aesthet Res 2022;9:16.
https://dx.doi.org/10.20517/2347-9264.2021.84

Received: 22 Jul 2021 First Decision: 4 Nov 2021 Revised: 17 Nov 2021 Accepted: 25 Jan 2022 Published: 12 Mar 2022

Academic Editors: Wen-Guo Cui, Yutaka Ogawa Copy Editor: Yue-Yue Zhang Production Editor: Yue-Yue Zhang

Abstract
Eyelid reconstruction remains one of the more challenging areas of the face to reconstruct due to its dynamic
complexity. They play an essential role in protecting the globe, forming a barrier against trauma, excessive light,
and pumping tears towards the nasolacrimal duct system. A critical understanding of the anatomy and soft tissue
reconstructive options is essential to properly reconstruct the eyelid and maintain the functional and cosmetic
components.

Keywords: Eyelid reconstruction, tarsoconjunctival flap, cutler-beard, lateral cantholysis

INTRODUCTION
The eyes are the central aesthetic focus of the face. It is usually the area on the face that we focus on when
conversing with people, which is why irregularities or asymmetries are noted much more readily than if
they were located elsewhere on the body. Because of this, eyelid reconstruction remains one of the more
challenging areas on the face to reconstruct.

The eyelids also play an essential role in shielding the globe, protecting against trauma, excessive light, and
pumping tears toward the nasolacrimal duct system. Therefore, it is important to have a comprehensive
understanding of eyelid anatomy so as to restore it as close as possible to presurgical parameters, including
the functional and cosmetic components, while minimizing surgical morbidity.

© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, sharing,
adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as
long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and
indicate if changes were made.

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