Does Enduragen graft in lower eyelid relax over time?

Unfortunately not all enduragen grafts behave as ideally as we would like. They can be stiff and in some cases they can be a source of chronic inflammation. In my hands, I do find they can be still and this can be an issue. Consequently, I seldom recommend this material for lower eyelid reconstruction and have had to replace unsatisfactory grafts with hard palate autograft. If you are experiencing issues more than 6 months out from surgery, a second opinion assessment may be warranted.