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The eyebrow is so aesthetically important that many methods of eyebrow reconstruction have been reported.1–6 However, to the best of our knowledge, no 1-stage reconstruction method that uses a single flap has been found for defects of both the eyebrow and upper eyelid. The lateral orbital flap and orbicularis oculi musculocutaneous flap are the reported flaps elevated from the lateral region of the lateral canthus.7–15 These flaps are designed from the lateral side of the frontal process of the zygoma to the anterior border of the sideburn and are elevated without any sideburn hair for reconstruction of an eye Background: When a tumor in the lateral eyebrow region is resected, recon-struction of the eyebrow and upper eyelid defects is necessary. We perform simultaneous reconstruction of such defects; sideburn hair is included on an extended lateral orbital flap. We describe our method and results of a retrospective evaluation. Methods: We treated 6 patients with partial eyebrow and upper eyelid defects. An extended lateral orbital flap was designed on the lateral region of the lateral canthus including sideburn hair and was elevated with