If this were simply a split in the lateral canthal angle, a lateral canthoplasty could be used to repair this issue. Your lower eyelid also demonstrates ectropion. The lower eyelid bows away from the eye surface. You are vertically and horizontally short in the lower eyelid. Generally further tightening of the eyelid will not properly reposition the eyelid. To avoid using a skin graft, specialized techniques are needed to definitely restore the shape to the eyelid. Each of these surgeries must be customized for a given patient. For that reason, a personal consultation with you would be necessary to determine precisely what you will require to correct this situation.