Complications of Cicatricial Ectropion Repair with Pre-Auricular Wolfe Graft

An 85-year-old lady presented with a severe cicatricial ectropion several months after a fall. The abnormality was corrected with a procedure that involved the use of a retroauricular skin graft. This provided resolution of her ocular symptoms. Several months later, she had noted significant hair growth on the graft, but elected for this to be managed conservatively. Careful harvesting of the graft from the non-hairy area between the ear and the hairline is essential to prevent unwanted transplantation of terminal hairs. Surgical success is also dependent on the final aesthetic outcome.