When the lid pulled away after the first surgery.
Ectropion — the lower eyelid turning out or sagging after surgery — is one of the most distressing complications a primary procedure can leave. It is a revision problem, and it is correctable with structural repair.
What this addresses
- Lower lid pulled down exposing sclera after primary surgery
- Rounding of the outer eye corner
- Lid laxity left or worsened by the first operation
- Functional symptoms (dry eye, tearing, exposure)
Ectropion after surgery is a loss of structural support, not a skin-tightening problem — so it is repaired structurally. ST uses lateral canthal anchoring (canthopexy or canthoplasty) with mid-face support — ST’s Pentagon technique — adding skin grafting only when the vertical deficit is severe.
The Process
Functional Assessment
Snap-back test, distraction test, lateral canthal tendon evaluation. We assess whether the issue is laxity, vertical skin deficit, or both.
Surgical Planning
Canthopexy alone, canthoplasty, or canthal anchoring with grafting depending on severity.
Surgery
Multi-vector repair — horizontal tightening, vertical support, mid-face elevation as needed.
Long Aftercare
Tighter dressing protocols, more conservative early activity. Recovery longer than typical revision.
“Under-eye correction begins by identifying the cause: fat, groove, support, pigmentation, prior procedure change, or a mixed pattern.”
Frequently asked
Mild to moderate ectropion typically corrects well; severe cases may keep subtle residual changes. We discuss specific, honest expectations for your case rather than promise a guaranteed result.
Only when there is a significant vertical skin deficit. We avoid grafts whenever the structure can be restored without one.
Considering revision? Start with an easy consultation.
You do not need to decide on surgery first. Send photos and prior procedure history, and ST will help you begin comfortably.