Utilization of a Sterile Button for Reconstruction of the Medial Canthal Concavity

Defects following skin cancer excision in the inner canthus pose a unique aesthetic and functional challenge. One undescribed option is the use of a sterile button. A button provides an optimal bolster material, because of its pre-existing holes, and the variety of shapes allows for customization. The authors describe a case series of 6 patients in which a sterile button was used to recreate the medial canthal concavity. External photographs were obtained pre-operation and at postoperative month 3. Patient satisfaction scores were obtained through a standardized questionnaire. All 6 patients responded to the standardized questionnaire stating they were very satisfied with their postoperative outcomes. Surgeons specializing in periocular reconstructive techniques should be aware of the feasibility of button placement as to provide their patients with a surgical option that addresses both the aesthetic and functional nature of the medial canthal concavity.