Clinical effects of pretarsal fullness reconstruction of the lower eyelid using autologous dermis or acellular dermis

Abstract

Objective To investigate the new metheds of recreating pretarsal fullness of the lower eyelid using autologous dermis or acellullar dermis. Methods Between September 2010 and November 2013, total 16 patients underwent the procedures of recreating of pretarsal fullness of the lower eyelid using dermis materials. A stab skin incision of approximately 4-5 mm was made at the lateral canthus and inner canthus along the subciliary crease of the lower eyelid respectively, and then the skin was undermined to create a subcutaneous tunnel between two stab incisions. The dermis roll was introduced into the undermined subcutaneous plane of the lower eyelid. The end of dermis was sutured to orbicularis oculi muscle to maintain the appropriate tension. Results 11 cases of them used autologous dermis, 5 of used acellullar dermis. The patients were followed up for 3-24 months. Lower-eyelid pretarsal fullness regained abvious and natural appearance, and the patients were highly satisfied. Complications included slight sclera show, partial absorption of dermis material and slight irregular apperence. One case of dermis infection occured and dermis roll had to be removed. Conclusions Autologous dermis or acellullar dermis grafting are simple, efficient techniques for recreating of pretarsal fullness of the lower eyelid. Key words: Transplantation, autologous; Dermis; Acellular dermis; Minor surgical procedures; Pretarsal fullness