Repair of full thickness upperUpper eyelid graft eyelidUpper eyelid repair defects is indicated to restore ocular protective functions and cosmesis. While small defects may be closed primarily, larger defects often require flaps or grafts or both. While the anterior lamella may be replaced by skin, mucous membrane is required for the internal posterior lamella lining of the eyelid to maintain ocular surface health and comfort. This chapter details a systematic approach for reconstruction of upper eyelidpper eyelid reconstruction defectsUpper eyelid defect.