An ectropic lower lid is one that is turned out. When the lower lid is ectropic it causes cosmetic disfigurement and potentially dry eye symptoms (irritation, scratchy feeling and redness). This can occur after cosmetic lower lid surgery and lead to very unhappy patients. This problem can be corrected by an eyelid specialist. The best way to avoid it is to have surgery performed by a surgeon with significant experience with eyelid surgery. Below is an example of a case sent to Dr. Massry for the repair of an ectropic lower lid. Note the improvement in lid position from before (left) to after (right) surgery. Dr. Massry’s practice focuses on revisional (redoing problem cases) surgery.