Abstract

• Study design: Case series.
• Purpose: To describe various clinical indications corrected using frontalis flap advancement.
• Methods: Lid crease incision with sub orbicularis dissection upto suprabrow area is carried out to reach the frontalis. The muscle is freed from its superior and inferior attachments and advanced upto tarsal plate. Partial thickness sutures anchor the flap onto tarsus. Lid crease formation sutures and skin closure is done. Minor modifications were made in width, length and attachment of flap directly onto tarsus or LPS stump as well as combined with medial canthal procedures according to various indications.
• Results: Desired palpebral height, satisfactory lid contour with nil/minimal lagophthalmos was obtained.
• Conclusion: This is a easily revisable technique using autogenous tissue with good lift and natural looking contour of lid.