Labia Minora Transplantation With Local Flap for Reconstruction of Full-Thickness Defect of the Lower Eyelid.

Large lower eyelid full-thickness defects require reconstruction before closure. Although several methods for replantation of the posterior lamella are reported, there are advantages and disadvantages. Herein, the authors report reconstruction of the posterior lamella of the lower eyelid by labia minora transplantation. A 70-year-old woman developed basal cell carcinoma of the right lower eyelid. Excision of the tumor resulted in a full-thickness defect of 25 mm in width on the central portion of the lower eyelid. The posterior lamella was reconstructed by labia minora transplantation, whereas the anterior lamella was reconstructed using the angular flap. There were no perioperative problems, and 2 years after the operation, the esthetic appearance and function was favorable. The labia minora mucosa has almost no donor trouble functionally and has both hardness and elasticity. Although there are some disadvantages, labia minora transplantation would be useful for posterior lamella reconstruction of the lower eyelid.