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Horizontal skin wound closure in full thickness eyelid excision


Dr Paul Rosser, Department of Ophthalmology, Greenlane Clinical Centre, Greenlane West, Greenlane, PO Box 92189, Auckland, New Zealand. Email:


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.

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