Reconstruction of full thickness lower eyelid defects using a lateral advancement flap with Z-plasty and periosteal strip

Purpose: To describe a single stage technique of reconstruction of full thickness lower eyelid defects using a lateral advancement flap and Z-plasty combined with a lateral periosteal strip. Methods: A retrospective case series of six patients who underwent reconstruction using this technique is presented documenting surgical technique, clinical photographs and postoperative outcomes. Results: All six patients demonstrated good eyelid position and cosmesis following reconstruction. Conclusion: A lateral advancement flap with Z-plasty combined with a periosteal strip is an effective technique to close lower eyelid defects of up to eighty percent of eyelid width, providing a good structural and aesthetic outcome.