Abstract
BACKGROUND The rich blood supply to the skin of the face provides the reconstructive surgeon much variability with local flap planning. However, in the design of local flaps, incisions should be placed where the tension of the suture lines will not distort landmarks such as the lip, the ala, and especially the eyelid. METHODS A case is presented with a different and further application of the bilobed flap in reconstruction of upper-lower and lateral canthal region defects. RESULTS With the described approach, the early postoperative and 18-month follow-up periods were seen as uneventful. CONCLUSION With regard to these local flap options, although the bilobed flap is an extremely useful flap whose usefulness in coverage of facial defects has been well described, no report has described its usage for eyelids and the lateral canthal region of this bilobed (bilobed in bilobed) flap variation.
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