Eyelid and periorbital area plastic surgery with a free skin flap

Introduction. Blepharoplasty occupies one of the leading positions in plastic surgery. Functional blepharoplasty is becoming especially relevant in connection with a special military operation, which significantly increased post-traumatic scarring of the eyelids after receiving mine-explosive, gunshot and burn injuries to the face. One of the surgical methods of treatment is the excision of pathological scar tissue with simultaneous repair of the defect with a free skin flap.The aim of the work is to compare the results of blepharoplasty used to correct defects in the eyelid and periorbital region, depending on the sampling zone of the free flaps used.Materials and methods. A prospective clinical study included 52 patients who underwent blepharoplasty with a free skin flap between 2020 and 2023.Results and discussion. Positive functional and aesthetic results depend on the initial state of the scar-altered zone, the mechanism of traumatic injury, as well as on the zone of intake of the autodermal flap.Conclusion. Blepharoplasty with a free flap, which gives good immediate and long-term results. According to our observations, the optimal plastic material is an autodermal flap from the retroauricular zone and the perineal zone. Despite the good results, it is necessary to continue the search for the best blepharoplasty methods to reduce the risk of complications.