Spastic entropion, also known as senile entropion, is a common condition of the lower lid in the elderly population and often requires surgical correction. There are a variety of surgical procedures that can be used to correct this condition, including: lower lid sutures, lower lid retraction sutures, orbicularis oculi shortening, and more. The following case describes an easy-to-use suture method to correct ectropion complications after spastic lid entropion surgery. Case Share: Patient, XX Zhao, female, 60 years old, underwent bilateral lower eyelid suturing for correction of entropion due to senile lid entropion. 8 days after removal of the sutures, overcorrected ectropion of the left eye developed (see Figure 1). A 3- to 4-stitch mattress suture was performed under local anesthesia to correct the ectropion in the left eye. Specifically, a double needle with a No. 2 silk thread was used, with one needle penetrating from the conjunctival surface of the lower lid ectropion and passing between the orbicularis oculi muscle and the subcutaneous tissue, with the needle running toward the infraorbital rim and exiting through the skin surface approximately 2 cm below the lid margin. The other needle is placed at a distance of 3 mm from the 1st needle (see Figure 2). The sutures are pulled tight until the ectropion is corrected, and the sutures are ligated to a small gauze roll (see Figure 3). The sutures may be removed 7 to 10 days after surgery, depending on the correction result. Discussion The use of sutures to correct ectropion caused by overcorrected lid entropion in the elderly is a simple and easy method with little tissue damage, is safer and more acceptable for older and frail patients, does not cause severe scarring of the eyelid, and creates a convenient condition for future eyelid surgery. It is an optional and convenient method.