A New Method of Extensive Eyebrow and Upper Eyelid Reconstruction: The Hairy Pre-auricular Cutaneous Free Flap

Effective restoration of extensive eyebrow and upper eyelid defect is quite difficult. The direction and density of reconstructed eyebrow hair, the color and texture of the reconstructed upper eyelid, and concealment of donor scar should be considered in detail preoperatively. The authors describe a new method for the effective reconstruction of an extensive eyebrow and upper eyelid defect using a hairy pre-auricular cutaneous free flap. The flap survived smoothly and revealed hair growth not dissimilar to that of the patient’s natural eyebrow. The patient has been followed for more than one year and the overall cosmetic acceptability of final result wound appear to be quite satisfactory. The hairy pre-auricular cutaneous free flap is a new method for the cosmetically acceptable reconstruction of an eyebrow/eyelid defect that can be completed in one-stage procedure.