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Keywords:

  • eyelid;
  • scar;
  • subciliary;
  • wedge

Abstract

The direct closure of full thickness lid margin defects is well described. The most popular method of closing this defect is to convert it to a pentagon by excising a triangle of skin and muscle below. The resultant scar is perpendicular to relaxed skin tension lines and may be cosmetically obvious. An alternative technique is presented whereby a horizontal subciliary incision is extended either side of the defect. After undermining and minimal excision the skin is closed leaving a horizontal linear subciliary scar, parallel to relaxed skin tension lines.