ABSTRACT
Many of the principles that apply to lower eyelid reconstruction apply equally well to reconstruction of the upper eyelid; however, there is one significant difference. If the lower lid is pulled taut, it rides closer to the globe or may ride somewhat inferior to the lower limbus. If the upper lid is pulled taut, it cannot be elevated by the levator muscle. Significant ptosis may ensue. It is, therefore, imperative that upper eyelid reconstruction be performed in such a way that the upper lid curve and laxity will persist after reconstruction is complete.
