The Esthetic Clinics- The Best Plastic, Cosmetic Surgery and Skin Treatment Clinics in Mumbai, India


Tenzel Flap Surgery

Best Tenzel Flap Surgery in India

Human eyes are fragile and a very delicate artwork of nature given their complex anatomical structure. Eyelids are responsible for cradling the eyes in such a way that the eye stays protected from external debris and injuries. Eyelids may appear smaller and not important but they play a crucial role in maintaining the health of the eyes. Especially when aging, the skin around the eyes starts thinning, stretching, along with sagging muscles around the eyelids. 

Most of the softer tissues of the eyelids start losing volume after malignant growths. Changes in the shape and size of the defects in eyelids often can interfere with the vision of the eyes. This is why The Tenzel flap restoration corrective procedure is necessary to help remove such defects and related deformities like sagging eyelids that have lost elasticity in them. 

What Is Tenzel Flap Surgery?

Tenzel flap surgery is a type of procedure that is used to correct or reconstruct the defects in the eyelids of a patient. The Tenzel flap restoration technique allows the cosmetic surgeon to reconstruct the lower eyelid defects by using a semi-circular rotation flap or the tenzel flap. Tenzel flap restoration is perfect for up to 50 percent lower eyelids defects. Tenzel flap surgery provides a better take on performing reconstructive eye surgery in India with its less invasive tissue management by rearranging more dynamically. 

Eye defects and tumor based deformities are traditionally treated with skin grafting or more invasive removal procedures. However, Tenzel flap reconstruction of eye defects allows more control to the cosmetic surgeon at our clinics in Mumbai by using the  more intelligent approach of rearranging the rotation of skin flaps around the eyelids.


Many times patients are not aware of their malignant lesions and tumors. They would often associate any new growth on the eyelids or surrounding skin or anywhere on the body for that matter, with cosmetic hindrance only. However, patients must get an expert’s opinion first-hand after discovering any such growth or abnormalities. Failure to do so can put the life of a patient at risk as these lesions can be cancerous or become one over time. An expert surgeon in India can figure out the signs, appearance, and shape of the malignant growths to evaluate the excision of the tumor.

When diagnosed early and removed accordingly following the due preventive measures, the patient can avoid many health complications in their eye reconstructive procedures. Patients are required to look for any new change on the skin; infection, any changes in the eyelashes, discoloration, etc. It is critical to understand the anatomy and function of the eyelid. Many cosmetic surgeons emphasize the need for identifying the growth in advance before treating them. 

What Is The Need For Tenzel Flap Surgery?

Skin cancers and malignancy growth resection on the eyelids or any other eyelid defects can be the result of aging skin or an injury, burns, or even birth defects. Such defects can cause problems with the normal functioning of the eyelid or can hamper the eyesight as well. Many such defects can heal on their own or require medical intervention.

In minor cases, our best cosmetic surgeons at The Esthetic Clinics in India might try correcting the condition with few sutures. However, in complex cases, sutures might not be enough and more complex reconstruction might be required. In such cases where the damage is significant and requires invasive intervention, the patient can consult our top plastic surgeon to discuss the various possible approaches.

One of them is the Tenzel flap procedure, where the surgeon would stitch down the edges of the wound together or edge-to-edge sutures around the eye by using the skin flaps. The process is often done by rotating and suturing flaps of skin on the lower eyelid to complete the eye reconstructive procedure. In several cases that are more complex in nature, a surgeon might suggest more than one surgical intervention to refine the eyelid function of the patient if needed.

Tenzel Flap Surgery Procedure

The eyelids of a patient can have varying degrees of defect that can cause difficulty in opening or closing the eyelids, pain, or vision problems. The lower eyelids around the eyes have the elasticity to hold the arch design of the surgery and tension of sutures. Tenzel flap surgical procedure is well suited for defects size of less than 50 percent of the total lower eyelid horizontally. Patients with such eye defects will have to discuss with their eye specialist or a cosmetic surgeon at a clinic nearby to discuss their possible options for the treatment.

Tenzel flap is a popular procedure for minor to moderately thick eyelid defects on or around the eyelid skin. Our top plastic surgeon would diagnose and evaluate the condition of the eyelid to define the best possible design of the flap rotation. After a thorough diagnosis of the eye and eyelids, an expert cosmetic surgeon in Mumbai would advise the best suitable method to correct the eye defects or malign resection wounds, or thick eyelid problems.

In the Tenzel flap approach, the plastic surgeon or ophthalmologist in India would make the incision on the lower eyelid by marking the appropriate site and deformity site to be removed. The surgeon would make an incision in an arch shape, that is facing upwards to avoid sagging or loose skin on the eyelids. The semicircle shape of the arch allows the surgeon to stretch the eyelid to cover the resection site by rotating and repositioning the flap. 

How To Estimate The Eyelid Defect?

One of the main concerns while performing this eyelid corrective surgery is to undermine what is the size of the defect. To determine the size of the tumor or malign lesion on the lower eyelid, an expert surgeon would measure the site accordingly. Generally, the surgeon would measure the lesion or malign site horizontally up to its edges on the lower eyelid. As a rule of thumb to decide on the suitable procedure for eyelid corrective surgery such as the Tenzel flap procedure in India, measuring the lesion size is of utmost importance. 

What To Keep In Mind Before The Tenzel Flap Procedure?

Tenzel flap procedure is one of the methods to do eyelid reconstruction in India. Eyelid reconstruction for any associated defect in the eyes requires the patient to be aware of the various treatment options. It is always a good idea to sit one on one before the surgical procedure at our clinic in Mumbai to understand what all happens in such surgeries.

  • Eyelid lesions and tumors size is going to decide the reconstruction procedure for a patient. However, a patient can discuss and decide the treatment with our expert cosmetic surgeons at our clinics in Mumbai.
  • Tenzel flap surgery in India is done for medium-sized defects that can be covered with the semicircular skin flap of the eyes to reconstruct the eyelids.
  • Mostly the procedure depends on various factors like the elasticity of the skin around the eyes, the thickness of the eyelids, and the size of the defect.
  • Following this, our top celebrity surgeon will start the Tenzel flap procedure by giving a local anesthetic to the patient. Tenzel flap surgery would require the patient to have laxity in their eyelid skin. It is critical to have loose surrounding skin to create an arch and flip the skin flap for covering the defect site. 
  • After the procedure, the patient would typically be allowed to go home and rest, however, in some cases, they are asked to spend the night under observation at our clinics in India.
  • Patients will have to take off from the work for at least two weeks to get the sutures healed.
  • Make sure to discuss the antibiotic medication routine along with any painkillers if the need arises for one. Follow-up check-ups will help keep the healing and recovery in place. 

What To Expect From The Doctor?

Living with deformities and defects impairs the well-being and health of a patient. Especially when they are experiencing the inconvenience all the time. Eyes and related functions require the best hands to treat any deformities or defects. Such defects might be the result of tumors, trauma, injury, congenital defects, or malignant growth accumulated over time.

Best cosmetic surgeons at our clinics in Mumbai are well versed with the various defects or deformities of eyes. Consult a doctor at The Esthetic Clinic as soon as possible to know more about such condition and their suitable treatment plans including Tenzel flap surgery. 

Dr. Debraj Shome, co-founder of The Esthetic Clinic in India has done a variety of work in the field of cosmetic surgeries and related procedures. Most eye reconstructive surgery requires the surgeon to have hands-on experience with the latest techniques and upgraded knowledge. Dr. Debraj Shome and his team at the clinics in Mumbai know how crucial such surgeries are, which is why they are the best eye reconstruction surgeons in India. Consult the doctors at The Esthetic Clinics to find out about the Tenzel flap reconstructive surgery cost and more information.

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About Doctor
Dr Debraj Shome- Best Plastic, Cosmetic & Oculoplastic Surgeon in Mumbai, India

Dr. Debraj Shome

Best Plastic, Cosmetic & Oculoplastic Surgery in Mumbai, India

Dr. Debraj Shome is Director and Co founder of The Esthetic Clinics. He has been rated amongst the top surgeons in India by multiple agencies. The Esthetic Clinics patients include many international and national celebrities who prefer to opt for facial cosmetic surgery and facial plastic surgery in Mumbai because The Esthetic Clinics has its headquarters there.

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Dr Debraj Shome- Best Plastic, Cosmetic & Oculoplastic Surgeon in Mumbai, India
Dr Debraj Shome- Best Plastic, Cosmetic & Oculoplastic Surgeon in Mumbai, India
Dr Debraj Shome- Best Plastic, Cosmetic & Oculoplastic Surgeon in Mumbai, India
Dr Rinky Kapoor - Best Dermatologist, Skin Specialist Doctor in Mumbai, India
Dr Rinky Kapoor - Best Dermatologist, Skin Specialist Doctor in Mumbai, India
Dr Rinky Kapoor - Best Dermatologist, Skin Specialist Doctor in Mumbai, India

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