A simple modification of the glabellar flap in medial canthal reconstruction

Purpose: To highlight a simple modification of the traditional glabellar flap, which may improve the cosmetic results achieved with this flap by reducing the tendency for the eyebrows to be drawn together. Methods: The modified surgical technique is described and used prospectively in 10 patients requiring medial canthal reconstruction with a glabellar flap. Results: All patients were satisfied with the cosmetic and functional results. Photographs of one patient illustrate the preoperative and postoperative appearance of the eyebrows. Conclusions: This simple modification is recommended to avoid drawing the eyebrows together when using the glabellar flap.