Tripier bipedicle musculocutaneous flap

The Tripier bipedicle myocutaneous flap was first described in 1889 as a procedure in which redundant skin and orbicularis muscle from the upper eyelid is used to reconstruct the lower eyelid. The flap is transposed as a bucket flap with both a medial and lateral pedicle. A second stage procedure may be necessary if the flap is created as a bridge (2-4 weeks after the original reconstruction). The bipedicle myocutaneous flap is useful for reconstruction of anterior lamellar lower eyelid defects. When a posterior lamella defect is present, additional support through hard palate graft, harvested cartilage, etc. may be used in conjunction with the bipedicle musculocutaneous flap.