Lower eyelid ectropion and retraction most often result from excessive skin removal, weakened support structures, or scar contracture following prior surgery.
Patients may experience dryness, irritation, tearing, foreign body sensation, or difficulty achieving complete eyelid closure.
Dr. Ahn approaches these conditions through structural reconstruction rather than superficial tightening.
Correction focuses on restoring both vertical and horizontal eyelid stability using lateral canthal stabilization, lateral tarsal suspension, and SMAS fixation.
SMAS fixation plays a critical role in preventing recurrent ectropion by redistributing downward tension away from the eyelid margin and anchoring support to a deeper, more stable tissue layer. This allows the lower eyelid to maintain its position without excessive tension on the skin or eyelid edge.
Lateral tarsal suspension is selectively employed to re-establish proper lateral eyelid support, particularly in cases involving eyelid laxity or prior canthal weakening. By stabilizing the lateral tarsus, Dr. Ahn ensures reliable eyelid position, secure eye protection, and long-term functional comfort.