Combination of Glabellar and V-Y Cheek Advancement Flaps for Large Skin Defects of the Medial Canthal Area

Reconstruction of large soft tissue defects of the medial canthal area represents a challenge, because of the thin skin, concave contour, and proximity to important nearby structures. Tension-free closure is important in avoiding distortion of the eyelid and nasal ala. Skin graft closure is not aesthetically appealing, and there are limitations in the use of local tissues for reconstruction. We present our experience (two cases) of reconstruction of very large medial canthal defects with a combination of a V-Y cheek advancement flap and glabellar rotation flap, with satisfactory aesthetic and functional results.