You need expert care for this. Stop letting your original surgeons whittle on your eyelids.
You should not let these surgeons attempt to repair this eyelid with a skin graft. That is not state of the art repair for this type of lower eyelid malposition. Please down load my free ebook on eyelid surgery cited below and study the sections of reconstruction lower eyelids after blepharoplasty. The goal here is a correction that not only fixed the lower eyelid malposition but also achieves the original cosmetic goals of improving your appearance. I assure you a skin graft will disfigure you as much as this lower eyelid does. Standard lateral canthal tightening surgery will only make your situation worse. For the past 20 years I have developed and perfected a definitive approach to correcting eyelids like yours. The reconstruction is achieve by vertically lifting the cheek onto a hand carved orbital rim implant that is used as a felting material to support the weight of the cheek. This removes the weight of the cheek from the lower eyelid, which is a significant factor in the eyelid malposition. The lifted cheek also recruits needed skin and soft tissue for the lower eyelid. The shape of the lower eyelid is controlled using a graft of hard palate from the rook of the mouth. I am sorry that this type of work is not available close to where you live. I have patients who fly in from all over the world to Los Angeles for this type of correction.
Repair of ectropion is a very challenging procedure. You need a proper diagnosis, to figure out if you have scar tissue buildup that is pulling everything down or too much removal of skin that is pulling it down. There is always a possibility of a very relaxed lower eyelid that needs to be tightened on the side call canthopexy. An oculoplastic surgeon or a facial plastic surgeon who has experience with ectropion repair should be able to help you.
Ectropion after lower blepharoplasty
From the looks of your photo, you likely have scarring pulling down the eyelid, which really means you are short on skin in this area. If previous attempts at fixing it only involved tightening the eyelid, they were destined to fail. See an oculoplastic surgeon in your area. You may require a skin graft to lengthen the eyelid and allow it to return to a normal position.
Ectropion after blepharoplasty
There is definitely hope of correction! An Oculoplastic surgeon who is experienced with eyelid malpositions after blepharoplasty would be the type of surgeon to help you. Corrective surgery would be accompanied by some swelling and bruising, but you should have an immediate improvement in the position of the eyelid against the eye. If there is a deficit of skin, the skin may be re-arranged to fill in the vertical deficit. Best wishes for resolution of your ectropion problem.
Ectropion of lower eyelid
It is hard to tell based on your one photo. I would recommend you see a board certified opthal-plastic surgeon for a second opinion or a plastic surgeon with extensive experience with eyelid surgery. At the time of examination, a plan can be recommended.
Ectropian following blepharoplasty
Tough problem obviously. Might be worth a trip to see a seasoned oculoplastic surgeon like Dr Glen Jelks. He is in Manhattan. Best wishes