Aesthetic and Functional Reconstruction of Periorbital Region Using Radial Forearm Free Flap

Background: This study describes the utilization of the radial forearm free flap (RFFF) for the restoration of severe soft tissue deficiency involving the upper and lower eyelids in three patients. Methods: This study is a retrospective review of the senior authors’ clinical records for patients who presented with periorbital defect and underwent reconstruction with RFFF between 2018 and 2022. Results: As a part of a comprehensive reconstructive surgery, we used the RFFF to deliver an ample amount of well-vascularized soft tissue. The flap’s vessels were anastomosed to the ipsilateral facial vessels in all cases. Patients showed significant functional improvement, with complete eyelid closure achieved. No immediate postoperative complications were noted. Conclusions: RFFF demonstrated optimal outcomes in upper eyelid reconstruction.