Advanced single-stage eyelid reconstruction: Anatomy and techniques

BACKGROUND: Skin cancers of the periocular tissue present formidable reconstructive challenges because of anatomic complexity, vital function, and cosmetic significance. OBJECTIVE: To review eyelid anatomy and reconstructive techniques from an oculoplastic surgery perspective. RESULTS: Eyelid structure and function are intimately linked, and good working knowledge is a prerequisite for successful reconstructive efforts. We discuss periocular anatomy, patient evaluation, and single-stage repair of both anterior lamellar and full-thickness defects. CONCLUSION: Despite the challenges of periocular skin cancer reconstruction, excellent cosmetic and functional results can be achieved with appropriate technique.