Many candidates want to have surgery to remove eye bags, but they are worried about the complication of “lid ectropion”, so they hesitate… There are 3 possible reasons for lid ectropion: 1. Excessive removal of skin and orbicularis oculi. It is obvious that excessive removal of the lower lid skin or orbicularis oculi muscle, which pulls down on the lid margin, leads to lower lid ectropion. 2. Infection of the incision and scar contracture. Infection of the incision can lead to significant scarring outside the incision and even scar hyperplasia. Contracture of the proliferating scar can lead to lower lid ectropion. 3. Lower lid scar contracture after absorption of the hematoma in the operative area. When the hematoma is absorbed, it is replaced by a scar, and the contracture of the scar leads to lower lid ectropion. How do you prevent lower eyelid ectropion? With the introduction of the possible causes of ectropion, we find that it is mainly due to: Excessive excision. The skin or tissue flap of the lower eyelid is downward, and there is a drop after too much is removed, but if the lifting force is strengthened, once it is hung it will certainly never be put down again, and you can effectively prevent lower eyelid ectropion. Is lower eyelid ectropion a symptom of surgical failure? At the beginning of the surgery, there will be mild lid ectropion. This will slowly recover after the stitches are removed and is not a cause for concern. Mild lower face ectropion due to edema and blood stasis can be treated without special treatment and will return to normal within 2 to 3 months. In more severe cases of lid ectropion, the eyelid will not close completely, and at night, for example, when sleeping, the cornea will be exposed, leading to inflammation of the cornea and the conjunctiva. If the ectropion is particularly severe, a new surgery, such as a flap graft eyelid surgery, may be required.