Facial plast Surg 2015; 31(04): 411-416
DOI: 10.1055/s-0035-1562879
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

An Inferiorly Based Rotation Flap for Defects Involving the Lower Eyelid and Medial Cheek

Jesse M. Lewin1, Anthony P. Sclafani2, John A. Carucci1
  • 1The Ronald O. Perelman Department of Dermatology, New York University Langone Medical Center, New York, New York
  • 2Division of Facial Plastic Surgery, Department of Otolaryngology, The New York Eye and Ear Infirmary, Center for Facial Plastic, Surgery, New York, New York
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Publication History

Publication Date:
15 September 2015 (online)


We report a series of 20 patients who underwent inferiorly based rotation flaps for reconstruction of defects of the medial and infraorbital cheek and lower eyelid following Mohs micrographic surgery for nonmelanoma skin cancer. Defects ranged from 1.2 to 3.2 cm in longest diameter and patients ranged from 27 to 91 years of age. All 20 patients had excellent functional and cosmetic outcome with up to 2-year follow-up and no subsequent surgical or laser revision. There were no instances of partial or complete flap necrosis, hematoma, or ectropion. Our series includes defects that originated on the cheek as far laterally as directly below the lateral canthus, and terminated as far medially as the nasal sidewall. An inferiorly based rotation flap is a viable alternative to a laterally based rotation flap and should be in the armamentarium of reconstructive dermatologic and facial plastic surgeons.