Autogenous dermis skin grafts in lower eyelid reconstruction

Purpose: To describe a new procedure using autogenous dermis to correct lower eyelid retraction secondary to posterior lamella shortening. Methods: A retrospective case series of 10 eyelids in 7 patients. Autogenous dermis grafts were created from postauricular skin by using dermabrasion. The grafts were placed as posterior lamellar spacers to provide elevation and support for the retracted lower eyelids. The postoperative eyelid height, contour, and complications were documented. Results: All patients demonstrated an elevation of the lower eyelid and a decrease in inferior scleral show. Minimal and transient complications were encountered. Conclusions: The technique described offers a simple alternative to other methods of posterior lamellar lower eyelid reconstruction.