Revision surgery

 First patient


                                         Before                                                                           After

        
 
                                         Before                                                                        After
       

                     Before                                                           After
        

                Before                                                           After
          

PERIORBITAL  REGION SKIN DEFECTS

Periorbital region are divided into four zones


  I zone  - upper eyelid
  II zone – lower eyelid
  III zone – medial canthus
  IV zone – lateral canthus
 
 

II zone(lower eyelid ) - reconstruction by “Z” plasty
Before operation
 

II zone - reconstruction by “Z” plasty
 

 

III zone –reconstruction by V- Y advancement flap and “Z”plasty
upper eyelid (I zone )

Second patient
The patient could't close eyes

  Before  operation
 
        
         

  III zone –reconstruction by V-Y advancement flap and in upper eyelid
( I zone )“Z” plasty
                            Before                                                             After

 
    

Third patient
       Canthal tendon reconstruction Release capsulo palpabrae fascia “V - Y”
advancement cheek flap rotation
 
                          FIRST STAGE after one year                                                                                  
                                 Before                                                   After