PMC6435999_01
A round shaped 1.0 cm diameter circumscribed elevated and had brown pigmented color lesion on the left upper eyelid.
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F1
It was round shaped, circumscribed elevated and had brown pigmented color (Figure 1 (Fig. 1)).
Advancement flap with Burow's triangles design
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F2
Then, the advancement flap of the anterior lamella is outlined with two Burow's triangles marked for excision, one triangle medial or lateral to the defect and the second diagonal to the first, above the lid crease (Figure 2 (Fig. 2)).
A) An advancement flap was fashioned. B) An advancement flap of the skin and orbicularis of the upper eyelid was undermined, elevated, and advanced inferiorly over the defect.
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F3
The triangles' boundaries are cut with a scalpel, dissected, and mobilized with blunt scissors (Figure 3A (Fig. 3)). An advancement flap of the skin and orbicularis of the upper eyelid was undermined, elevated, and advanced inferiorly over the defect (Figure 3B (Fig. 3)).
Appearance of the eyelid at the end of the reconstruction
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F4
Interrupted buried 6/0 nylon sutures are used to approximate the dermis and subcutaneous tissue and close the defect completely (Figure 4 (Fig. 4)).
Three-week follow-up results
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F5
Moreover, this treatment produces good aesthetic results (Figure 5 (Fig. 5)) and increased patient satisfaction.