2026-05-29
Eyelid Eversion, Lower Blepharoplasty Ectropion, and Side Effects of Under-Eye Fat Surgery
Learn about the causes and correction methods for lower eyelid ectropion, a common side effect of under-eye fat and blepharoplasty surgery.
Today, I would like to post about ‘lower eyelid ectropion’.
This is generally considered a severe case among ‘lower blepharoplasty side effects’.
It is a ‘side effect’ that can occur during ‘under-eye fat surgery’.
Patients often complain of ‘eyelid eversion’ symptoms.
This occurs when the eyelid is pulled downward due to scarring or when an excessive amount of skin is excised.
There are several ways to correct this. It is essential to properly release the underlying scar tissue while ensuring the lateral canthus is securely fixed.
Since recurrence is common, it is crucial to receive treatment from an experienced surgeon.
In some cases, dermis is harvested from near the buttocks or groin and inserted into the scarred area, or a hole is drilled into the lateral orbital bone for fixation.
Generally, if the final result is maintained after 6 months, the surgery is considered successful.
The operation time usually takes around one hour.
Frequently Asked Questions
Why does lower eyelid ectropion (eversion of the lower eyelid) occur?
It occurs when too much skin is excised or when scar tissue pulls downwards. If too much skin is removed during lower eyelid surgery or lower blepharoplasty, a side effect of the lower eyelid turning outwards may occur.
How is lower eyelid ectropion corrected?
It is corrected by fixing the lateral canthus and releasing the scar. Depending on the symptoms, methods such as harvesting dermis from the buttocks or groin and inserting it near the scar, or drilling a hole in the lateral canthal bone to firmly fix it, may be used.
How long does lower eyelid ectropion correction surgery take?
It takes approximately 1 hour. The actual time may vary slightly depending on the patient's scar condition and specific surgical methods such as dermal grafting or lateral canthal bone fixation.
When can I know the success of lower eyelid ectropion revision surgery?
If the results are maintained for 6 months after the surgery, it is considered a success. Since lower eyelid ectropion is prone to recurrence, it is important to observe the progress for at least 6 months after surgery to ensure that the corrected state is well maintained.