title: Treatment of lower eyelid malposition with dermis fat grafting.
abstract: 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.
authors: 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
authors: Bobby S
authors: BS
authors: Korn
authors: Don O
authors: DO
authors: Kikkawa
authors: Steven R
authors: SR
authors: Cohen
authors: Morris
authors: M
authors: Hartstein
authors: Christine C
authors: CC
authors: Annunziata
mesh_terms: 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