Replantation of avulsed eyelid followed by use of bioengineered dermal substitute

Eyelid injuries secondary to dog bites are common, particularly ones involving the lacrimal system. Full thickness eyelid avulsion is less often seen after dog bites. We report an unusual case of a young female who underwent replantation of full thickness avulsed eyelid tissue after a dog bite. The skin of the grafted eyelid necrosed postoperatively and was replaced with bioengineered skin substitute resulting in good functional and cosmetic outcomes.