A 52-year-old man with lower eyelid retraction and infraciliary skin contracture of the left eye, occurring secondary to repair of an orbital wall fracture, was referred. He had considerable scleral show, lagophthalmos, and a very poor cosmetic appearance. A buccal mucosal graft combined with a periauricular skin graft was performed. The postoperative outcome was highly satisfactory, with complete eye closure and good cosmesis achieved. A buccal mucosal graft can be effectively used for the management of postoperative lower lid retraction.