Eyelid Reconstruction

The goals of eyelid reconstruction are to provide adequate globe coverage, proper closing mechanics, preservation of tear film integrity, maintenance of an unobstructed visual field, and to recreate an aesthetically appealing eye. There are several requirements for an eyelid reconstruction to be considered “aesthetic.” Both lids have to be in proper position, with normal palpebral fissure width and height. The eyelid margin should be distinct from the preseptal segment. Tissues must be thin to blend seamlessly with local skin. Finally, the canthal angles must be sharp and crisp. In this paper, we provide a practical guide to simplify eyelid reconstruction. This is not an exhaustive review of all available reconstructive techniques; instead, this is a description of the techniques we have found effective that together can address many eyelid defects.