A novel reconstructive procedure for the divided nevus of the eyelids using a tissue expander

Abstract

Expanded local flaps and skin grafts (expanded/nonexpanded) are a common approach for reconstructing medium (1.5-20cm) and large (>20cm) divided nevi of the eyelids. However, this approach does not often provide a satisfactory cosmetic result, particularly in Asian patients, because of different skin types. We recently devised a new surgical procedure using an extended cheek flap and tissue expander for the medium-sized divided nevus of the eyelids. The upper and lower eyelids are concurrently reconstructed by divided flaps. This method is an effective treatment method for the medium-sized divided nevus of the eyelids and can be applied in total reconstruction of the eyelids in the future. This article presents our novel technique and is illustrated using a brief case report.