Rate Raman Malhotra
Company logo          Enlarge view     Site map     Search



This web site uses cookies.
More information can be found here »
You can remove this notification by clicking here »

Outward-turning lower eyelids — ectropion

Ectropion is the medical term used to describe sagging and outward turning of the lower eyelid and eyelashes. This can lead to excessive tearing, crusting of the eyelid, mucous discharge and irritation of the eye. In most cases, ectropion occurs because of age-related relaxation of the tissues of the eyelid. Some cases are caused by scarring as a result of many years of sun-exposure, chemical and thermal burns, injury, skin cancers, or previous eyelid surgery. Occasionally, ectropion can be present at birth if the eyelids do not form properly.

Ectropion of the right eye, pre-surgery

A month after surgery


Ectropion should be repaired surgically before the front of the eye (the cornea) is damaged. The surgery to repair ectropion is usually performed under local anesthesia as a day case procedure. In most cases, Mr Malhotra will tighten the eyelid and its attachments, usually through a small incision at the outer corner of the eyelid, but also internally (trans-conjunctivally), in order to re-attach the internal eyelid attachments known as retractors. Occasionally, a skin graft may be required.

What to expect

  • You will need to apply an antibiotic ointment to the eye for a week and to the incision line for about two weeks.
  • Any stitches that have not dissolved will be removed at your first return visit to Mr Malhotra.
  • You may have a tender, lumpy area at the outer corner of the lower eyelid for a few weeks.
  • After your eyelids heal, your eye should feel comfortable and you will no longer have the risk of corneal scarring or infection.
  • If a skin graft is required, you will have an eye pad over one eye for a week.

All procedures begin with a consultation. For full information about what to do before and after surgery, see Patient information.

Back to top



Raman Malhotra site map




The consultation

Academic role



Lectures and presentations

Research papers


Fellowship programme

In the news


Benign eyelid lump — Chalazion

Benign eyelid lump — Chalazion — Patient information


Cataracts — Patient information

Drooping upper eyelids — Ptosis

Drooping upper eyelids — Ptosis — Patient information

Excessive, involuntary blinking — Blepharospasm

Excessive, involuntary blinking — Blepharospasm — Patient information

Eye bags/heavy eyelids — Blepharoplasty

Eyelid skin cancer

Eyelid skin cancer — Patient information

Facial paralysis — Facial palsy

Facial paralysis — Facial palsy — Patient information

Inward-turning eyelid — Entropion

Inward-turning eyelid — Entropion — Patient information

Outward-turning lower eyelids — Ectropion

Outward-turning lower eyelids — Ectropion — Patient information

Thyroid eye disease

Thyroid eye disease — Patient information

Watery eye — Epiphora

Watery eye — Epiphora — Patient information


Artificial eyes and orbital implants

Artificial eyes and orbital implants — Patient information

Asian eyelid surgery

Asian eyelid surgery — Patient information


Botox — Patient information

Brow lift

Brow lift — Patient information

Cataract removal and lens replacement

Chemical peel

Chemical peel — Patient information


Eyelid lift — Blepharoplasty

Eyelid lift — Blepharoplasty — Patient information


Cheek and facial contouring

Cheek and facial contouring — Patient information

Lip filling and shaping

Lip filling and shaping — Patient information

Tear trough fillers

Tear trough fillers — Patient information

Upper eyelid contouring

Upper eyelid contouring — Patient information

Mohs surgery

Mohs surgery — Patient information

Ptosis surgery


9 Harley Street

The McIndoe Surgical Centre

The Queen Victoria Hospital

Spire Gatwick Park Hospital


Site map

Terms of use