Tripier's innervated myocutaneous flap 1889 D Elliot, J.A Britto  British Journal of Plastic Surgery  Volume 57, Issue 6, Pages 543-549 (September 2004) DOI: 10.1016/j.bjps.2004.02.021

Figure 1 Tripier's original description of two bipedicled musculo-cutaneous flaps based on the orbicularis oculi muscle, reported in the Gazette des Hôpitaux de Paris, 1889. British Journal of Plastic Surgery 2004 57, 543-549DOI: (10.1016/j.bjps.2004.02.021)

Figure 2 An instructional bust used by Harold Gillies to teach Army surgeons during the First World War, and currently held in the Frognal Centre for Medical Studies, Queen Mary's Sidcup NHS Trust, Sidcup, Kent, UK, illustrating the use of the second of Tripier's flaps to reconstruct a defect of the lower eyelid. (A) Frontal view of bust (B) Lateral view of bust. British Journal of Plastic Surgery 2004 57, 543-549DOI: (10.1016/j.bjps.2004.02.021)

Figure 3 (A) An 80-year-old woman with a basal cell carcinoma of the central third of the upper lid margin. A Tripier flap is shown designed at a higher level than as described for lower eyelid reconstruction. (B) The tumour has been excised to, but preserving, the tarsal plate. The resection includes the lid margin. The innervated myocutaneous flap has been elevated. (C) The flap is shown after transfer. (D) The flap has been inset at the lid margin, including inset of the pedicles by islanding the skin overlying the upper part of the tarsal plate. A Wolfe graft, taken from the opposite upper eyelid has been used to reconstruct the donor defect. (E) Distant view of the reconstruction, 2- years after surgery. (F) Close-up view of the eyelid with the eye open, 2-years after surgery. (G) Close-up view of the eyelid with the eye closed, 2-years after surgery. British Journal of Plastic Surgery 2004 57, 543-549DOI: (10.1016/j.bjps.2004.02.021)

Figure 4 Léon Tripier 1842–1891. British Journal of Plastic Surgery 2004 57, 543-549DOI: (10.1016/j.bjps.2004.02.021)