Brow Fat Transposition for Reconstruction of Hollowing After Dermoid Cyst Excision on the Outer Upper Eyelid in a Young Woman: A Case Report

TL;DR

A 13-year-old girl had a successful eyelid reconstruction using brow fat after a dermoid cyst was removed, avoiding complications and achieving good results.

Contribution

This case introduces brow fat transposition as a novel, single-stage solution for eyelid hollowing after tumor removal in young patients.

Findings

Brow fat transposition effectively restored eyelid contour after dermoid cyst excision in a young patient.

The procedure achieved symmetry and stable volume augmentation with no complications at 18-month follow-up.

This method offers a reliable reconstructive option for post-excisional hollowing in young individuals.

Abstract

Periocular hollowing following tumor excision presents unique reconstructive challenges, particularly in young patients, as the literature on post-excisional reconstruction remains limited compared with that on age-related volume loss. We report the case of a 13-year-old female who presented with a dermoid cyst in the right upper eyelid causing mechanical ptosis. Following complete excision, a significant hollow developed at the surgical site. A single-stage reconstruction was performed using a pedicled brow fat (retro-orbicularis oculi fat) flap transposition to address the volume deficit. At the 18-month follow-up, excellent contour restoration and symmetry were achieved without complications. This case highlights that brow fat transposition offers a reliable, single-stage reconstructive option for upper eyelid hollowing following tumor excision, providing stable autologous volume augmentation with favorable aesthetic outcomes in young patients.

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