In Brief Learning Objectives: After reading this article, the participant should be able to: 1. Learn an anatomical basis for eyelid reconstruction. 2. Present the most common eyelid defects and reconstructive options for repair. Summary: Reconstruction of the eyelids can range from simple repair to the integration of multiple complex procedures. Knowledge of eyelid anatomy, adequate preoperative planning, and meticulous surgical technique will optimize the anatomical and functional result. The purpose of this article is to review the relevant anatomy for eyelid reconstruction, to simplify defect analysis and preoperative planning, and to provide options for reconstruction of this complex area. RELATED VIDEO CONTENT IS AVAILABLE ONLINE.