Abstract
The reconstruction of eyelid defects poses a unique challenge to the surgeon due to the eyelids’ highly specialized functions and the critical importance of the eyelids in cosmesis of the face. An understanding of eyelid anatomy and principles of reconstruction unique to the periocular adnexa is key to achieving optimal functional and aesthetic results. In this chapter, we describe techniques for reconstruction of periocular defects with an emphasis on strategies that minimize complications and optimize cosmesis.