Periocular flaps.
BACKGROUND: Most flaps used in periocular reconstruction are random pattern flaps. OBJECTIVE: To discuss the principles of periocular flaps as they relate to oculoplastic surgery, with an emphasis on reconstruction of the eyelids and ocular adnexa. METHODS: The advantages, disadvantages, and techniques of reconstruction are reviewed. CONCLUSION: The ability to conceptualize and utilize flaps in periocular surgery enormously extends the surgeon's capabilities to produce optimal results for the patient.