The use of hard palate mucosal grafts (HPG) in eyelid surgery is becom
ing increasingly popular. We present two palatal donor site complicati
ons that have not been previously reported. The first is an ore-nasal
fistula discovered 1 week following surgery. The second is oral candid
iasis, which compromised healing of the palatal donor site. With appro
priate treatment, both complications resolved shortly after surgery. C
areful preoperative evaluation and postoperative follow-up is recommen
ded to recognize and manage these complications.