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The outcome were satisfying. Functionally, this technique permitted great occlusion of this eyelid and prevented the event of ocular complications. Regarding the visual view, the career associated with the neo-eyelids is pleasing. No patient need retouching. The perforator flap permitted a substantial mobilization without distortion of neighboring areas, and keeping frontal contractility. This contemporary strategy to flap dissection provides good useful outcome, decreases the sequelae of the donor