Facial plast Surg 2017; 33(03): 329-333
DOI: 10.1055/s-0037-1602144
Rapid Communication
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

V-Y Advancement Flap for Defects of the Lid–Cheek Junction

Nicola A. Quatrano1, Mary L. Stevenson1, Anthony P. Sclafani2, 3, John Carucci1
  • 1Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York, New York
  • 2Division of Facial Plastic Surgery, Department of Otolaryngology, Weill Cornell Medical College, New York, New York
  • 3Center for Facial Plastic Surgery, New York, New York
Further Information

Publication History

Publication Date:
01 June 2017 (online)

Abstract

We report a series of 10 patients who underwent inferolaterally based V-Y advancement flaps for reconstruction of defects involving the lower eyelid and infraorbital cheek junction. Defects ranged from 1.7 to 2.9 cm in largest diameter, and patients ranged from 59 to 84 years of age. All patients had excellent functional and cosmetic outcomes without subsequent surgical or laser revision. There were no instances of flap necrosis, hematoma, or ectropion. Vertically oriented V-Y flaps are often underused in this setting largely due to the perceived increase risk of ectropion. We describe a modification of the flap with lateral orientation that both diminishes the downward tension vector, which threatens ectropion, and conceals incision scars within resting tension lines, providing superior functional and aesthetic outcomes. Our series demonstrates that a properly designed and well-executed inferiorly based V-Y advancement flap can be used as a safe reconstructive modality for defects involving the lid–cheek junction.