Periorbital soft tissue reconstruction has always been a difficult problem. There are several techniques for correction of supraorbital defects, most often we are talking about aged patients with sagging skin. Local skin grafting is usually used. However, this approach can result additional scars on the face requiring further multiple corrections. We report a good functional and aesthetic result in a young patient after reconstruction of supraorbital region with a pedicled skin flap from periauricular region under reverse blood flow. This technique can be taken into account for complex small periorbital soft tissue defects up to 5.0 x 5.5 cm. The flap adequately closes the defect and repairs facial contour and symmetry.