The simultaneous reconstruction of upper and lower eyelid defects, while preserving the seeing eye, presents a difficult task. Most cases involving such defects occur after burn injuries and tumor resections [
1]. We present the case of a 55-year-old man, who provided consent and authorization for this report, with neglected basal cell carcinoma of both the upper and lower eyelids in the right eye and 10/10 visual acuity (
Fig. 1). After oncological resection, defects were encountered in the total lower eyelid and half of the upper eyelid. A temporoparietal fascial flap (TPFF) was used to reconstruct both the upper and lower eyelids after an incision was made between the frontal and parietal branches of the temporal artery (
Fig. 2). A composite graft from the nasal septum was sutured to the lower division of the TPFF and was used to reconstruct the posterior lamella, while the anterior lamella was reconstructed with a full-thickness skin graft (
Fig. 3). During the 1-year follow-up period, no complications were encountered, except reduced upper eyelid motion, and the patient’s visual acuity was similar before and after reconstructive surgery (
Fig. 4). The patient was satisfied with the postoperative aesthetic results and refused any further refinements. Even though the TPFF is a well-known flap, as far as we know, such reconstructions are generally multistage [
2]. To our knowledge, only one report has described functional reconstruction of both eyelids, the eyebrow, and the lacrimal drainage system in a single-stage procedure by pre-dividing a TPFF into three divisions [
3]. The described method offers an efficient, effective alternative for eyelid reconstruction in a single-stage procedure.