Mustarde Cheek Rotation Flap for Lower Eyelid Repair

Transverse Cervical Flap

A Mustarde cheek flap is a large rotation flap with its leading edge at the lateral canthus extending laterally and arching like a Tenzel flap 12 . The incision is then continued laterally to the preauricular crease toward the level of the earlobe. A wide subcutaneous undermining proceeds, the extent of which is determined by the laxity of the skin and the extent of the defect. The posterior lamella must be reconstituted and Mustarde recommends a composite graft of nasal septal cartilage and...