In this presentation from AAO 2016, Dr. Eric Steele focuses on the use of dermis fat grafts, hard palate mucosa grafts, and acellular dermis products for traumatic lower lid retraction. Lower lid retraction following trauma can be difficult to correct. Medical management, including the use of lubrication and moisture chambers, can provide temporary relief until definitive surgical management can be undertaken. For definitive management of cicatricial lower lid retraction, a posterior lamella spacer graft is required. Choosing the right implant for a posterior spacer graft depends on the clinical situation and surgeon experience.