Abstract
In reconstructing an upper lid the importance of having a structure which is composed of skin, tarsal plate and mucous-secreting lining is stressed. This structure must be soft and supple so that it can move, yet must be stiff enough to conform to the shape of the eye. Forehead and other facial flaps are not satisfactory for this purpose and the best material is a full-thickness flap taken from the lower eyelid.
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