Concerned about eyelid retraction and ectropion - What are the chances of this happening?

Thank-you for your question. When there is careful patient selection, minimal/conservative excision of skin along with tightening of muscle , the chances of ectropion are small. It is difficult to say without seeing your pictures but some individuals need a canthopexy , where the outer corners of the eyes are tightened. Please discuss your concerns with your plastic surgeon before the procedure. All the best!

First of all, a transcutaneous lower eyelid surgery can result in ectropion. Consider having the procedure performed as a trans conjunctival approach with the incision located on the inside of your lower lids. We do not recommend fat injections to the eyelids because we have seen very poor results from that procedure. Much more information is needed such as a full set of eyelid pictures to make a determination about a canthoplasty procedure that you're considering undergoing