• Lower eyelid retraction is frequently managed by recession of the lower-lid retractors and interposition of a "spacer graft." We have used hard-palate mucosa as our spacer material in 25 eyelids of 18 patients. A graft twice the height of the measured amount of lid retraction was used and resulted in predictable, satisfactory results. The hard-palate mucosa was easily obtained and the donor site healed well in all patients, with minimal care.
Kersten RC, Kulwin DR, Levartovsky S, Tiradellis H, Tse DT. Management of Lower-Lid Retraction With Hard-Palate Mucosa Grafting. Arch Ophthalmol. 1990;108(9):1339-1343. doi:10.1001/archopht.1990.01070110155041