Periocular Flaps

  • Louise A. MawnEmail author
  • Eugene O. Wiggs


A flap is tissue with its own blood supply that is transferred to another bodily area. The majority of flaps used in periocular reconstruction are adjacent tissue transfer flaps, also known as random pattern flaps (i.e., flaps that are not based on axial arterial blood supply). In oculoplastic surgery, flaps are usually classified as (1) sliding, (2) advancement, (3) rotation, or (4) transposition.

Due to an abundance of blood supply in the periorbital area, the flap length-to-width ratio can exceed the 3:1 or 5:1 ratio needed for survival in nonfacial areas.


Periocular flaps Sliding flap Advancement flap Rotation flap Rhombic rotation flap Transposition flap Rhombus-to-W flap 

Supplementary material

Video 34.1 Repair of lower lid/cheek defect with a rhomboid flap. Courtesy of Richard C. Allen, MD, PhD, FACS. (MPEG 103986 kb)
419986_5_En_34_MOESM2_ESM.mp4 (54.9 mb)
Video 34.2 Rhomboid flap. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 56169 kb)


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Ophthalmology and Neurological SurgeryVanderbilt Eye Institute, Vanderbilt University Medical CenterNashvilleUSA
  2. 2.Department of OphthalmologyUniversity of ColoradoDenverUSA

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