Ectropion - lower eyelid pulled away no longer protecting the eye (from aging skin and blepharoplasty correction)

The balance of tissues that help protect the eye can be upset with aging and cancers. See the surgical results of eyelid reconstruction of ectropion after basal cell carcinoma. Explore the eyelid for both reconstructive and cosmetic (blepharoplasty) surgery.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

Reconstructive Reconstructive Surgery Hand Hand and Nerve Cosmetic Cosmetic aesthetic Congenital Breast Breast Breast Head & Neck plastic surgeon Skin Cancer skin cancer Microsurgery

Bermant Plastic Surgery
About Dr. Bermant

Bermant plastic surgery cosmetic surgeon
Find us

Bermant Plastic Surgery
Multimedia Lectures

Bermant plastic surgery cosmetic surgeon
Kid's view

Bermant plastic cosmetic hand and reconstructive surgery

Other Bulletin Boards

Facelift / Neck lift (rhytidectomy)

Ptosis of the eyelid (drooping of the upper eyelid)

Blepharoplasty (Cosmetic surgery of the eyes)

Ectropion (Drooping of the lower eyelid)

Recurrent ectropion after multiple cancer resections and then skin cancer excision with Mohs' chemosurgery and full thickness skin grafts.

Reconstruction of the lower eyelid

Facelift surgery (rhytidectomy)


Bermant Plastic Cosmetic Hand and Reconstructive Surgery

Bermant Plastic Hand Cosmetic and Reconstructive Surgery


Bermant Plastic Hand Cosmetic and Reconstructive Surgery

Ectropion - Drooping Lower Eyelid

The lower eyelid protects the eye. Age, excessive exposure to the sun, and gravity slowly relaxes the skin and structures that hold the eyelid in place. Scars can also pull the cheek and lid down. There are other mechanisms for ectropion.

The punctum is the drainage hole on each lid near the nose. As the punctum pulls away from its normal position against the globe, tears do not drain naturally into the nose. As protection for the eye breaks down, irritation, burning, itching, and discomfort develop.

Mild forms of ectropion can be treated with artificial tears and eyeglasses that protect the eye from the wind. There are many surgical procedures for worse forms of ectropion. Here are some cases where lesser treatments failed and the patients were referred to me.

basil cell cancer lower eyelid Ectropion Photograph
Basal Cell Cancer Lower eyelid

This patient had a blepharoplasty ectropion repair from another physician for lid laxity problems. There is now a basal cell cancer of the lower lid.

Dr. Bermant removed the tumor and reconstructed the lid sliding tissue in from the cheek. The lid needed more tissue. Dr. Bermant restored the lid position with a skin graft. After surgery her burning and tearing problems were corrected.

ectropion lower eyelid after skin cancer skin graft correction of ectropion lower eyelid plastic surgery

Left Photograph

Right Photograph
after skin graft


senile ectropion lower eyelid Ectropion
Right eyelid pulled away
blepharoplasty correction lower eyelid plastic surgery After surgery for Ectropion

This patient has a senile lid ectropion, the skin has become too lax and the lid pulls away from the eye. She complained of tearing, burning of the eye, and sensitivity to wind.

  • A. The eyelid has pulled away from the eye
  • B. The punctum pulled away from the eye
  • C. Scleral show
ectropion lower eyelid plastic surgery ectropion after bleparoplasty reconstruction

Left Picture
Ectropion and Lid pulled away

Right Picture
After surgery for Ectropion

Dr. Bermant performed a lid tightening blepharoplasty on the right eye. After surgery note:

  • The eyelid position is restored
  • The punctum is back against the eye
  • There is normal scleral show

See another case of recurrent ectropion after multiple cancer resections and then skin cancer excision with Mohs' chemosurgery and full thickness skin grafts.

Explore another case of severe basal cell cancer treated with radiation therapy that resulted in lower lid ectropion.

Eyelid ectropion surgery - Bermant in China. Dr. Bermant performing
ectropion corrective surgery in China

Learn more about blepharoplasty

ASPS website

Eye protection on the web


Ptosis of the eyelid (drooping of the upper eyelid)

Ptosis classification

Simple congenital

Acquired Myogenic (muscle related)

Ptosis associated with Blepharophimosis (congenital eyelid deformity)

Ptosis associated with paralyzed eyebrow muscle

Eyelid Cancer and Reconstruction

Canthal release advancement

Mustarde cheek flap

More eyelid reconstruction

Eyebrow cancer and reconstruction

Patient bulletin boards



This Site

How to
Learn More

Dr. Bermant

Bermant Plastic Surgery Encyclopedia.


Body Shaping
Without Surgery

Guide to

How To Choose Your
Plastic Surgeon

Bookmark and Share This Resource.

Our Encyclopedia
Our Facebook Page
Like This Page

Bookmark Facebook Google Yahoo Bookmarks BlinkList Technorati Reddit Mixx MySpace Diigo Delicious

Integrated Discussion Board
If you like what you see and have learned here, come join our A Body Beautiful Plastic Surgery Forum: a meeting place for

  • those with concerns,
  • those willing to share experiences,
  • and doctors with a passion for certain problems to demonstrate their solutions.

Follow us on Twitter, , Linked in, and Facebook.

Send E-mail to Dr. Bermant

Michael Bermant, MD
Retired Plastic Surgeon

Social Networking

Retirement and Closure of Practice as of 8/31/2011.

ASPS - American Society of Plastic Surgeons

Life Member of the American Society
of Plastic Surgeons, Inc.

Shop at The Surgery Store for your skin care, comfort, and recovery needs.

Hear Dr. Bermant's Multimedia Lectures in your community

Find this site useful? Tell a friend!

Search for a Book from Barnes and Noble

© 1996-2012 Michael Bermant, MD

Legal Information - Privacy Policy - Using Before After Photos

This page last updated on: April 21, 2012

ASAPS - American Society for Aesthetic Plastic Surgery

Life Member of the American Society
for Aesthetic Plastic Surgery, Inc.
Board Certified American Board PS Board Certified American Board
of Plastic Surgery