Abstract
The eyelidEyelid consists of the anterior and the posterior lamellae. During reconstructionReconstruction, both must be repaired to achieve optimal eyelidEyelid function, globe protection, and cosmesis. The method of reconstructionReconstruction depends on the depth and thickness of the defect, state of the eyelidEyelid margin, and overall size of the wound. Regardless of which method is chosen, a key principle remains: there must be an inherent blood supply for either the anterior or the posterior lamella (pedicle flapFlap). An inherent vascular supply ensures tissue survival and optimizes the functional and cosmetic outcomes. Additional principles of reconstructionReconstruction include provision of maximal horizontal stabilization and minimization of vertical tension. There must be proper fixation of the eyelidEyelid at the lateral canthal angle, and the globe must face an epithelialized eyelidEyelid surface. Finally, in the upper eyelidEyelid, the levator must be identified and necessary repairs addressed during reconstructionReconstruction to ensure proper opening and function.