Most often, surgery is necessary. Surgery is usually performed under local anesthesia.
During the operation, the surgeon usually removes part of the lower eyelid. This requires stitches under the eyelid or in the outer corner of your eye. In most cases, this operation is quite effective and solves the problem.
If your ectropion is due to scar tissue or insufficient eyelid skin, you may need a skin graft (skin transplant). Your oculoplastic surgeon will take skin behind your ear or from your upper eyelid and attach it to your lower eyelid.
If you have previously had facial paralysis or multiple scars, multiple surgeries may be needed to get the best result and completely resolve the problem.
Some patients feel relief immediately and others find relief within days or a few weeks. Most patients have no other symptoms after treatment and healing.