Can ectropion caused by double eyelid surgery
be corrected?
When the eyelashes of the eyelid are excessively turned upward, that is one symptom of ectropion.
This can occur when the line is set too deep and too high during double eyelid surgery.
In most cases, when the skin is fixed to the levator aponeurosis above the upper margin of the tarsal plate,
ectropion appears in which the gray line, the inner surface of the upper eyelid, becomes visible, and the eyelid turns outward so that the eyelashes are lifted upward.

Some people like #upturnedeyelashes, but in most cases the eyes look overly bright and are not preferred.
Because of exposure of the inner eyelid surface, the eyes may also feel uncomfortable.
When ectropion occurs as a #doubleeyelidsurgery side effect, correcting it quickly makes the eyes look more comfortable and allows the eyelashes to naturally settle downward.
Usually, when there is swelling after double eyelid surgery, the eyelashes are lifted upward to some extent, but if the degree is severe, correction is needed.
If about a week has passed and the swelling has gone down considerably, yet the lifted eyelashes do not come down, correction is definitely necessary.
You can see that the eyelashes that were raised immediately after surgery came down right away.

For ectropion correction immediately after double eyelid surgery, the fixation that was set too high beyond the upper margin of the tarsal plate is released, and the skin is fixed to the tarsal plate or the tissue above it.
The fixation should be made as shallow as possible so that the eyelashes do not appear lifted even if there is swelling.
Two days after surgery is usually when the swelling is at its worst, so ectropion should worsen, but because it has been corrected,
the eyelashes remain more stably and naturally lowered than they were before surgery, when there was no swelling.


Four or five days after correction, there is still swelling in the upper eyelid, but the position of the eyelashes is facing horizontally.
In general, the mechanism by which the eyelashes lift upward occurs when the double eyelid fixation is strongly and deeply fixed above the upper margin of the tarsal plate.
#Thedoubleeyelidfixation should be set lower and more shallowly, below the tarsal plate, to prevent ectropion from occurring.

In the photos below, you can see that when the double eyelid fixation is set too high, a certain degree of ectropion occurs, and after revision surgery to lower the double eyelid line,
the eyelashes are shown naturally coming down again.


