Objective      To summarize the operation experience and clinical application of autologous dermal graft to correct lower eyelid depression and repair concomitant lower eyelid ectropion.       Methods      Thirteen lower eyelid depression in 12 patients were treated with autologous dermal transplantation in our department from January 2010 to June 2011. And 7 lower eyelid ectropion from 7 patients were repaired at the same time.       Results      These 13 eyes of 12 patients were followed up for 6 to 12 months. Twelve eyes of 11 patients got the satisfying outcome with eyelid depression filling and no ectropion was seen. Only 1 eye appeared mild ectropion

but the patient thought it was fair effective

so no more operation was carried out.       Conclusion      Application of autologous dermal graft to correct lower eyelid depression is an effective approach with material-rich

no immune response

high survival rate and low absorption rate. Concomitant lower eyelid ectropion can be repaired at the same time. So this approach is worthy of being popularized.