Aesthetic Reconstruction of Huge Full-Thickness Defection of Lower Eyelid Using Nasolabial Mucosal-Myocutaneous Propeller Flap

Reconstruction after the excision of a lower eyelid tumor should be focused on the restoration of both functionality and aesthetic appeal. Accurate identification and appropriate intervention are crucial for the favorable resolution of the condition. This technique used a nasolabial mucosal-myocutaneous propeller flap to reconstruct a huge full-thickness defection of right lower eyelid because of basal cell carcinoma. Therefore, the nasolabial mucosal-myocutaneous propeller flap displayed an excellent adaptation to the orbital structure, ensuring high graft survivability, and yielding an aesthetically pleasing outcome with negligible morbidity at the donor site. This case serves as an important reminder to choose the nasolabial mucosal-myocutaneous propeller flap, which was viable and could be applied to reconstruct the skin, tarsus, and palpebral conjunctiva at a time.