Dermis-fat graft: evolution of a living prosthesis

Over the past two years 15 dermis-fat grafts were performed. Ten were primary grafts, two were implanted because of migrated implants, two for extruding implants and one to correct deep superior sulcus recession. Our experience showed dermis-fat grafts to be an effective method of correcting orbital volume deficit, of maintaining satisfactory prosthetic motility and of preventing the development of conjunctival deficiency. In primary dermis-fat grafts fat atrophy was less than 10%, whilst in secondary implants fat atrophy was less than 30%. Complications were minimal in our small series.