Modified Fricke Flap for Lower Lid Reconstruction

Eyelids are the protective mechanism of the eyes. The upper and lower eyelids have been formed for their specific functions by the nature. Reconstruction techniques have evolved over time and excellent results can now be achieved with a combination of ingenious flaps. The modified Fricke?s cheek flap is a variation of classical Fricke flap, as it is designed over the cheek rather than the eyebrow. This prospective article will discuss the advantage of modified Fricke flap. Objective: to illustrate a simple and effective technique, for coverage of lower lid. Material and Method: A total 16 cases of lower lid defect were reconstructed using modified Fricke flap between September 2019 to December2021. Results: All patients recovered completely without any flap loss , however in knrrrsome patients secondary flap thinning was required. Conclusion: Modified Fricke?s flap is an easy-to-perform flap, smooth learning curve and often only possible option with acceptable aesthetic results. This procedure can be easily performed on an OPD and daycare basis and in elderly patients who already have skin laxity donor site can be closed easily. The use of this technique is associated with a low complication rate and morbidity.