The Tripier reverse flap for reconstruction of the upper eyelid.

INTRODUCTION: The Tripier flap is a bipedicled bridge-shaped flap, originally designed on the upper eyelid. The classically described use was for reconstruction of split-thickness defects of the lower eyelid. In the literature no mention exists of bipedicled flaps from the lower eyelid for reconstructing the upper. CASE REPORT AND SURGICAL TECHNIQUE: Authors report a case of a partial thickness defect in the upper eyelid, reconstructed through a bipedicled bridge-shaped flap from the lower eyelid. The reconstructed lid healed uneventfully and 6 months' follow up is satisfactory with regard to reconstruction. CONCLUSION: The reverse Tripier flap is therefore a valid technique for the repair of the upper eyelid when other options are not feasible.