Fat transfer for cicatricial ectropion in lamellar ichthyosis.

The risk of ectropion recurrence due to skin graft contracture is high especially in patients with ichthyosis. In order to overcome this problem, fat transfer underneath the skin graft was carried out in three consecutive sessions during the early postoperative period of a 27-year-old male patient with lamellar ichthyosis and bilateral upper and lower eyelid ectropion. Transferred fat reduced graft contraction by improving the hydration and viability of the skin. In addition, the grafted fat acted like a spacer and provided tarsal support. To address the persisting epiphora, a medial spindle technique was used to invert the lower punctum lacrimalis. At 8 months follow-up, all the symptoms associated with the ectropion were completely resolved.

Level of evidence: Level V, therapeutic study.