Reconstruction of periorbital soft tissue defects

Jens U. Berli, Shannath L. Merbs, Michael P. Grant

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Abstract Because of the complex anatomy and fine mechanics of the periorbital soft tissues, the reconstruction of this region can be particularly daunting. Through a structured assessment of the defect, based on subunit analysis and thorough understanding of the surgical layers, we believe to allow the reconstructive surgeon to develop an algorithmic approach to these complex problems. The sequela of a suboptimal reconstruction do not only result in an inferior aesthetic result, but also have the potential for long-term functional problems such as epiphora, dry eye, ptosis, eyelid retraction, and thus requiring secondary surgery. There is no better time to aim for a perfect reconstruction than at the time of the initial surgery. In this chapter, we hope to encourage the reader to strengthen and recapitulate these analytical skills and present the most commonly used and studied techniques to help achieve a reproducible functional and aesthetically appealing result.

Original languageEnglish (US)
Pages (from-to)561-569
Number of pages9
JournalFacial Plastic Surgery
Issue number5
StatePublished - Oct 1 2014
Externally publishedYes


  • eyelid
  • lacrimal
  • periorbital
  • reconstruction
  • soft tissue

ASJC Scopus subject areas

  • Surgery


Dive into the research topics of 'Reconstruction of periorbital soft tissue defects'. Together they form a unique fingerprint.

Cite this