Correction of a deep superior sulcus with dermis-fat implantation

We describe five patients with deep superior sulcus deformities who had dermis-fat grafts implanted into the preaponeurotic space. Three patients had anophthalmic sockets, and two had normal seeing eyes. The grafts were taken from the left lower abdominal quadrant above the iliac crest and the donor site was closed primarily. At the time of surgery, an effort was made to overcorrect the deformity. All five patients were improved, although one of the anophthalmic patients developed a slight postoperative ptosis. A follow-up of at least one year has shown no sign of fat absorption.