fig5

Figure 5. Hughes flap. (A) Appropriate size defect for a Hughes flap. (B) Conjunctiva and tarsus incised. Horizontal border of flap is at least 4 mm superior to lid margin. (C) Composite flap advanced into the lower lid defect. (D) Anterior lamella reconstructed with advancement flap. (E) Superior border or advancement flap suture 1 to 2 mm above upper border of tarsus. (F) Pedicle divided 4-6 weeks after initial reconstructive stage.