43 Dermis Fat Graft
Book
Editors: Freitag, Suzanne K.; Lee, N. Grace; Lefebvre, Daniel R.; Yoon, Michael K.
Title: Ophthalmic Plastic Surgery
Subtitle: Tricks of the Trade
Print ISBN: 9781626238978; Online ISBN: 9781626238985; Book DOI: 10.1055/b-006-163725
2020 © 2020 Georg Thieme Verlag KG
Georg Thieme Verlag, Stuttgart
Subjects: Ophthalmology, Optometry;Plastic, Reconstructive and Cosmetic Surgery
Thieme Clinical Collections (English Language)
Abstract
In the surgical management of the anophthalmic socket, dermis fat grafts serve an important function. The dual nature of this compound graft provides volume augmentation to the socket (fat) as well as a scaffold for conjunctiva to increase the surface area of the socket (dermis). Additionally, dermis fat grafts promote orbital growth when used in children. Complications include fat atrophy, ulceration, graft hirsutism, keratinization, and infection. The surgical technique is straightforward; however, there is a second surgical site at the donor site.