Treatment of lower eyelid malposition with dermis fat grafting.
OBJECTIVE
To report a new technique in the repair of lower eyelid malposition using dermis fat as a posterior lamellar spacer graft.


METHODS
Retrospective, consecutive, nonrandomized interventional case series.


METHODS
Eleven patients who underwent surgical correction for symptomatic lower eyelid malposition using dermis fat as a spacer graft.


METHODS
Patients with symptomatic lower eyelid malposition after blepharoplasty, trauma, craniofacial syndromes, and human immunodeficiency virus-associated lipodystrophy were treated with midfacial lifting combined with dermis fat posterior lamellar spacer grafting.


METHODS
Preoperative and postoperative measurements of eyelid position, margin-to-reflex distance (defined as the distance from the upper eyelid to the central corneal light reflex and the distance from the lower eyelid to the corneal light reflex), lagophthalmos, corneal staining, presence of ocular surface symptoms, and patient satisfaction.


RESULTS
All patients who underwent dermis fat spacer grafting during lower eyelid malposition repair noted improvement in ocular surface symptoms and restoration of normal eyelid position.


CONCLUSIONS
Dermis fat is a novel posterior lamellar spacer graft and offers numerous advantages over conventional lower eyelid spacer grafts for repair of lower eyelid malposition.
Korn
Bobby S
BS
Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, Shiley Eye Center University of California, San Diego, La Jolla, California 92093-0946, USA. bkorn@ucsd.edu
Kikkawa
Don O
DO
Cohen
Steven R
SR
Hartstein
Morris
M
Annunziata
Christine C
CC
D000273:Adipose Tissue / Q000637:transplantation*; D019882:Blepharoplasty / Q000009:adverse effects; D019465:Craniofacial Abnormalities / Q000150:complications; D020405:Dermis; D005141:Eyelid Diseases / Q000209:etiology / Q000601:surgery*; D005143:Eyelids / Q000293:injuries; D005260:Female; D039682:HIV-Associated Lipodystrophy Syndrome / Q000150:complications; D006801:Humans; D012189:Retrospective Studies; D014947:Wounds and Injuries / Q000150:complications