Abstract
An 81-year-old woman underwent a free tarsal graft procedure to repair a right lower eyelid defect following a Mohs’ resection of a basal cell carcinoma. Three weeks postoperatively, a horizontal contracture of the superior donor tarsus resulted in a vertical cicatricial tarsal kink of the upper eyelid, ultimately requiring a full thickness wedge resection to correct. Vertical cicatricial tarsal kink is a relatively rare and poorly characterized donor site complication of free tarsal grafts and tarsoconjunctival flaps.
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