Objective To explore the method and experience of repairing low eyelid tissue defect． Methods 14 cases with low eyelid tissue defect were enrolled． Using free skin graft，for partial defection with complex-tissue，adjacent skin flap was chosen，but for whole low eyelid defection，after-ear reverse-flow flap， forehead flap，ear cartilage，rib cartilage and oral cavity were chosen． Results All the flaps and skins survived completely with primary healing both in donor and recipient area． 1 case succumbed to myocardial infarction one week after surgery，the other healed with good low eyelid appearance and function． Conclusion Method of dermatoplasty may be selected for little leyelid lack，while skin flap should be selected to prevent skin contraction or ectropion palpebrarum when the defect area was extensive． The reconstruction of complete low eyelid defect should give consideration to skin，ciliary cartilages and ciliary cartilages: after-ear reverse-flow flap has some virtue，which had inconspicuous area and good appearance; forhead flap has reliable blood，but supplying area is urglily; ear cartilage is better than rib cartilage; oral cavity is the first mode of choice of eyelid conjunctiva reconstruction．

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