The glabellar flap is effective in the reconstruction of defects within the
medial canthal region. The unique contour of the medial canthal region pre
sents a challenge in the surgical planning of the glabellar flap, which is
only briefly described in texts. We describe its step by step construction,
including the indications and precautions. We also include a section on va
riations in design for improved closure. With careful planning, the glabell
ar flap provides excellent cosmetic results.