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Case Reports in Surgery and Invasive Procedures | Volume 3

March 11-12, 2019 | London, UK

Biomarkers

Plastic and Cosmetic Surgery

International Conference on

Joint Event

Full thickness eyelid reconstruction

Lea Mogilnicki

Novo Mesto GH, Slovenia

Eyelid anatomically consists of anterior and posterior lamellae.

Every lamella has its own function and should be reconstructed

separately and in layers. Anterior lamella consists of skin and

muscle, posterior lamella of tarsal plate and of conjunctiva.

Anterior lamella is what you see first. The skin should

match surrounding skin considering texture and color. For

reconstruction you should follow relaxed skin tension lines

for best cosmetic result. I will show some advantages of flaps

over free grafts. Posterior lamella supports the lid and helps

with closure of the lid aperture. After excision a lid margin you

should reconstruct both lid lamellae. For reconstruction of

posterior lamella you can use tarsal plate or cartilage. One can

take cartilage from ear conchae, nasal septum or you can take

hard palate graft. I will show the possibilities of tarsal grafts and

explain the reasons for decisions, considering the position and

the size of a tumor. With those graft you can achieve lid stability

and prevent lid malposition like ectropion or entropion.

Speaker Biography

Lea Mogilnicki has finished ophthalmology residency with international EBO exam of

excellences in Paris, France in May 2011. Since then she keeps educating in the field of

esthetic medicine and oculoplastic surgery. She has private practice in esthetic and work

in GH as reconstructive oculoplastic surgeon. She has attended several international

congresses and in 2017 she won best poster on field of oculoplastic at SOE congress in

Barcelona.