Skin

Eyelid skin is thin allowing good mobility of the eyelids. In part due to this thinness, it has a tendency to stretch with age. The resultant excessive skin can be used for full thickness skin grafts. Such skin grafts take well as there is little subcutaneous fat. It should be noted that the lower lid has no vertical excess skin and one should excise lesions from the lower lid as vertically as possible to avoid a cicatricial ectropion.

Whitnalls ligament

Whitnalls ligament

Figure 1.1 Sagittal view of the eyelid structures.

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