Following Mohs surgery, reconstructing medial canthal defects can be complex, but the glabellar flap offers a reliable solution. The procedure involves careful planning, incision with a fifteen blade, and the use of Bovie cautery to create a sufficiently thick flap. The flap is then mobilized into the defect, ensuring minimal tension and proper alignment with surrounding tissue. Closure of the donor site is achieved with buried sutures, and patients are informed about potential changes in brow appearance. Overall, the glabellar flap provides better vascular supply and reduces the risk of complications compared to traditional skin grafts.
Surgeon: Dr. Bradford W. Lee, Oculoplastics, Oculofacial Plastic Surgery of Hawaii, USA
Last Updated: April 22, 2025