Karabekmez, Furkan ErolDuymaz, AhmetYılmaz, Engin2021-06-232021-06-2320131300-6878https://hdl.handle.net/20.500.12491/4847https://www.scopus.com/inward/record.uri?eid=2-s2.0-84886444287&partnerID=40&md5=fa45315dc120691592a127fc605694d9A 44-year-old male and 75 year old woman has a lesion on their lower eyelid presented to our clinic. Biopsies revealed basal cell carcinoma and patients undergo general anesthesia for excision of the tumors and repair. The full-thickness nearly total lower eyelid defects were reconstructed with the modified Hughes tarsoconjunctival flap for posterior lamellar reconstruction combined with a Frickesupraorbital island flap for anterior lamellar coverage. Supraorbital flap had provided a good support to prevent ectropion with sling effect in our cases. This combination allowed us to do second stage surgery for separating tarsoconjunctival flap earlier (10 to 12 days) than usual and provided an acceptable cosmetic result for lower eyelid defects in our two cases. Combination of modified Hughes tarsoconjunctival flap and Fricke supraorbital island flap may become a good alternative for reconstruction of bilamellar lower lid defects reaching 75 percent.trinfo:eu-repo/semantics/closedAccessFricke FlapHughes FlapLower Eyelid DefectTarsoconjunctival FlapArticle21224272-s2.0-84886444287N/A