Use of the spiral flap for closure of small defects of the lower eyelid.

Various options have been proposed for lower eyelid defects depending on the location and the size of the defects. To demonstrate a modification to the traditional rotation flap. The incision was made parallel to the free margin of the lower eyelid. Thus the flap was folded to fill the defect. All flaps survived. The final results were satisfactory. The spiral flap is a good option for the lower eyelid defect.