Table of contents

• Symptoms of Ectropion
• Causes of Ectropion
• Why Treatment Is Important
• Understanding Terminology
• Surgical Treatments for Ectropion
• Best Clinics in Korea for Ectropion
• Considering Surgery in South Korea
• Benefits of Ectropion Surgery
• Summary Table of Ectropion Types and Causes
• Conclusion
• References

Ectropion is a condition where the eyelid, usually the lower one, turns outward away from the eye’s surface. While this might seem like a small change, it can seriously affect eye health and comfort. Normally, eyelids protect the eye and spread tears evenly to keep it moist and free from irritants. When the eyelid flips outward, this protective function is lost, exposing the delicate inner lining and making the eye vulnerable.

When the eyelid doesn’t close properly due to ectropion, tears don’t spread across the cornea as they should. This can cause a confusing mix of symptoms: the eye feels dry because tears aren’t distributed well, but it also produces excess tears in response. Since the eyelid is out of place, tears can’t drain through the tiny openings called puncta, causing them to pool and overflow onto the cheek.

Symptoms of Ectropion

People with ectropion often notice watery eyes because tears don’t drain properly. Despite the tearing, the eyes can feel dry, gritty, or sandy. The exposed inner eyelid and dryness cause irritation, leading to burning sensations and redness in both the eyelid and the white part of the eye. Some also experience light sensitivity (photophobia) due to corneal irritation. A common complaint is the feeling of a foreign body in the eye, even when nothing is there. In some cases, mucous discharge and crusting of eyelashes occur. The eyes may feel sore, red, and irritated. Less commonly, blurred vision or pain can happen. In severe cases, especially paralytic ectropion, patients may be unable to close their eyelids fully, a condition called lagophthalmos.

Causes of Ectropion

Ectropion can develop for several reasons:

• Involutional ectropion is the most common and happens with aging. As muscles and tendons supporting the eyelids weaken and stretch, the eyelid becomes loose and sags outward. Even frequent eye rubbing can worsen this laxity.

• Paralytic ectropion results from facial paralysis caused by conditions like Bell’s palsy, stroke, or tumors affecting the facial nerve. The orbicularis oculi muscle, which closes the eyelid, weakens, causing the eyelid to droop and increasing corneal exposure.

• Cicatricial ectropion occurs due to scarring from trauma, burns, skin conditions, or previous eyelid surgeries such as blepharoplasty or laser treatments. Scar tissue contracts and pulls the eyelid outward.

• Mechanical ectropion is caused by growths like tumors, cysts, or swelling (edema) that physically push or pull the eyelid outward.

• Congenital ectropion is present at birth and often linked to genetic disorders like Down syndrome or blepharophimosis syndrome, where eyelid muscles don’t develop properly.

Other less common causes include allergic reactions and certain anti-cancer drugs such as erlotinib, cetuximab, and panitumumab.

Why Treatment Is Important

If ectropion is left untreated, it can lead to serious eye problems. Chronic dryness and irritation increase the risk of corneal abrasions (scratches), ulcers (open sores), infections like conjunctivitis (pink eye), and keratitis (corneal inflammation). In severe cases, untreated ectropion can cause vision loss or blindness. It may also cause punctal stenosis or phimosis, which narrow or close the tear drainage openings.

Understanding Terminology

While "ectropion" is the medical term, patients might see it described as "out-turned eyelid," "sagging eyelid," or "drooping eyelid." Doctors may specify the type—such as involutional, paralytic, cicatricial, mechanical, or congenital—based on the cause. It’s important to note that eyelid ectropion is different from "cervical ectropion," a gynecological condition affecting the cervix and unrelated to the eyelid.

Surgical Treatments for Ectropion

For many, especially when symptoms persist or complications arise, surgery is the best way to fix ectropion and relieve discomfort. The surgical approach depends on the type and cause of ectropion, and any inflammation or infection should be managed before surgery to improve outcomes.

Canthoplasty

Canthoplasty tightens and repositions the outer corner of the eyelid (lateral canthus). By reinforcing the canthal tendon, the surgeon lifts and supports the lower eyelid, correcting the outward turn. This procedure is common for involutional ectropion caused by eyelid laxity. It improves tear drainage, reduces dryness and irritation, and can enhance the eye’s appearance by reducing droopiness.

Eyelid Retraction Repair

This surgery addresses ectropion caused by eyelid pulling or scarring, often from previous surgeries or trauma. The surgeon releases the retractors—muscles pulling the eyelid down—and may use grafts made from skin or mucous membrane to lengthen the eyelid’s outer layer. This is especially important for cicatricial ectropion, where scar tissue needs to be released and replaced to restore normal eyelid position.

Laser Canthoplasty

Laser canthoplasty uses lasers to make precise cuts, remove excess tissue, and tighten skin around the eyelid’s outer corner. While details are limited, laser techniques may reduce bleeding and speed healing compared to traditional surgery. Laser use is often part of canthoplasty rather than a separate procedure.

Blepharoplasty

Though mainly a cosmetic surgery to remove excess eyelid skin and fat, blepharoplasty can help some involutional ectropion cases by removing extra tissue that contributes to eyelid sagging. However, removing too much skin can cause cicatricial ectropion, so this procedure must be carefully planned and is not a primary treatment for all ectropion types.

Eyelid Fat Grafting

This involves transferring fat from another body area to the eyelid to restore volume and support. Fat grafting can improve eyelid position in involutional ectropion caused by fat loss and help cicatricial ectropion by adding bulk to scarred areas, enhancing both function and appearance.

Best Clinics in Korea for Ectropion

Listed below are the best clinics in Korea for ectropion:

Clinic Name	Key Features	Special Techniques
THEPLUS Plastic Surgery	State-of-the-art facilities in Garosu-gil, Gangnam; four integrated floors for consultation, surgery, and aftercare; led by board-certified, internationally recognized surgeons; expertise in complex reconstructive/revision surgeries; active in academic research and international symposiums; focus on patient safety, personalized care, and natural-looking results; global recognition and society memberships.	Groundbreaking facial bone/soft tissue techniques; individualized, harmony-focused treatment plans for eyelid and facial reconstruction; continual adoption of latest surgical innovations; research-driven approaches.
Made Young Plastic Surgery	Led by Dr. Park Byung-Chan with 15+ years specialized eye surgery experience; instant, natural results; direct surgeon consultations; strong emphasis on safety (board-certified anesthesiologist, advanced monitoring); award-winning (2022 Korea No.1, customer satisfaction); dedicated aftercare center.	Fully customized eyelid surgery: tailored incision, crease height/thickness, and eye shape; innovative aesthetic enhancement methods; thorough post-surgical care ensuring optimal recovery and results.
Okay Plastic Surgery Clinic	Holistic, patient-centered philosophy; led by a renowned female plastic surgeon; focus on sincerity, precision, and empathetic care; comprehensive integration of functional and aesthetic needs; personalized for comfort and optimal results; expertise spanning advanced eye, skin, and scar procedures.	Cutting-edge eye surgery combined with tailored treatment strategies; integrated management of scars and aesthetics; thorough, individualized plans to address unique anatomical and cosmetic requirements.

THEPLUS Plastic Surgery

THE PLUS Plastic Surgery clinic, located in the heart of Garosu-gil, Gangnam, Seoul, is a premier destination for state-of-the-art cosmetic and reconstructive procedures. Known for its world-renowned surgical team and commitment to patient-centered care, THE PLUS embodies the highest standards in plastic surgery, blending scientific innovation with aesthetic artistry. The clinic operates across four purpose-built floors, seamlessly integrating consultation, surgery, and post-operative care under one roof. Surgeons at THE PLUS are not only leading practitioners but are also active contributors to academic research, regularly participating in major domestic and international symposiums. This ensures that the clinic’s approach to every procedure remains at the forefront of the latest medical advancements. With a core philosophy focused on patient safety, personalized communication, and natural-looking results, THE PLUS Plastic Surgery has rightfully earned a reputation as one of Korea’s most trusted and highly recommended clinics for facial reconstructive procedures, including Ectropion correction.

Why THE PLUS Plastic Surgery is the best choice for Ectropion treatment:

• World-renowned Surgeons: Led by board-certified experts such as Dr. Kim, Dr. Jeong, and Dr. Lee, whose expertise has gained international recognition. Dr. Kim is especially known for his groundbreaking work in facial bone and soft tissue surgery, and Dr. Jeong’s presidency in the Korean Society of Plastic Surgeons highlights the clinic’s eminent standing in the field.
• Specialized Expertise: The clinic’s experience encompasses revision surgeries and complex reconstructive procedures, making it ideal for delicate corrections like Ectropion, where both function and aesthetics are essential.
• Multidisciplinary Approach: Dr. Kim’s and Dr. Jeong’s philosophy of achieving harmony between facial features ensures individualized treatment plans that focus on restoring both natural appearance and eyelid function.
• Commitment to Education and Innovation: THE PLUS surgeons continually educate other professionals globally, adopting and refining the latest techniques for optimal outcomes and patient safety.
• Comprehensive, Integrated Care: With dedicated facilities for consultation, surgery, and aftercare, patients receive seamless, attentive, and private care every step of the way.
• Academic Leadership: Surgeons are frequent contributors to international journals and books, and their research-driven approach ensures that every procedure is based on the most current scientific evidence.
• Global Recognition: Participation in major global forums and society memberships underscore the team’s dedication to setting and upholding the highest standards in plastic surgery.

For those seeking exceptional results in Ectropion correction in Korea, THE PLUS Plastic Surgery offers the rare combination of technical mastery, innovation, and a patient-centric approach—setting a new benchmark for excellence and trust in facial reconstructive care.

You can check out their website here: THEPLUS Plastic Surgery Website

Made Young Plastic Surgery

Made Young Plastic Surgery stands out as Korea’s premier clinic for Ectropion correction, thanks to its unmatched blend of experience, expertise, and personalized patient care. Led by Dr. Park Byung-Chan—a specialist with 15 years of focused experience in eye surgery—Made Young has earned a reputation for delivering natural and beautiful results, with an emphasis on instant aesthetic improvement even from the day of surgery. Dr. Park’s meticulous approach involves customizing each aspect of eyelid surgery, from incision lines and double eyelid height to eyelid thickness and overall harmony with a patient’s facial features, ensuring a truly bespoke and natural eye shape for every client. Patients benefit from direct consultations with highly skilled surgeons, a comprehensive safety system featuring board-certified anesthesiologists and advanced monitoring protocols, and a dedicated aftercare center for thorough post-surgical support. Recognized with prestigious awards including the 2022 Korea No.1 Award and customer satisfaction accolades, Made Young combines rigorous safety standards, innovative surgical techniques, and a patient-centered philosophy—making it the trusted choice for anyone seeking the highest standards in Ectropion treatment in Korea.

You can check out their website here: Made Young Plastic Surgery Website

Okay Plastic Surgery Clinic

Okay Plastic Surgery Clinic stands out as the premier destination for ectropion treatment in Korea due to its unique philosophy that prioritizes transformative, individualized care rooted in sincerity and precision. With a team led by a renowned female plastic surgeon renowned for her expertise and compassionate approach, the clinic goes beyond standard procedures, offering a holistic and comprehensive patient experience. Patients with ectropion benefit from a combination of cutting-edge medical techniques and tailored treatment strategies, ensuring the best possible outcomes for both function and aesthetics. The clinic's broad spectrum of specialized services—from intricate eye surgeries to advanced skin and scar management—ensures that each patient receives an integrated, personalized plan designed to restore both comfort and appearance. At Okay Plastic Surgery Clinic, every detail is considered, every need is met, and every step of the journey is supported by empathy and excellence, making it the most trusted choice for ectropion correction in Korea.

You can check out their website here: Okay Plastic Surgery Clinic Website

Considering Surgery in South Korea

South Korea is a popular destination for ectropion surgery due to its advanced medical technology and skilled surgeons, especially in plastic and reconstructive surgery. The process usually starts with online consultations where patients share medical history and photos. After deciding to proceed, patients arrange travel and accommodation, often with clinic assistance.

Upon arrival, an in-person consultation finalizes the treatment plan. Surgery is performed in hospitals or specialized clinics, with anesthesia type depending on the procedure and patient needs. Surgeries often take less than an hour per eyelid. Post-operative care instructions and follow-up appointments are provided, and patients typically stay in South Korea for several days to a week for recovery and check-ups.

South Korea offers competitive costs, state-of-the-art equipment, and comprehensive care packages that may include surgery, accommodation, transportation, and post-op care. Patients should research clinics and surgeons thoroughly to ensure quality care.

Benefits of Ectropion Surgery

Though direct patient testimonials are not included here, successful ectropion surgery generally restores eyelid position, allowing tears to spread and drain properly. This relieves dryness, grittiness, burning, and the sensation of a foreign body. Surgery protects the cornea from damage, preserving and sometimes improving vision.

Correcting the eyelid also reduces excessive tearing by restoring natural drainage. Timely surgery prevents serious complications like corneal ulcers and infections. Many patients notice cosmetic improvements, with eyes looking more refreshed, which can boost confidence and quality of life.

Summary Table of Ectropion Types and Causes

Type of Ectropion	Common Causes
Involutional	Aging (weakening of muscles and tendons)
Paralytic	Facial nerve paralysis (e.g., Bell's palsy, stroke, tumors)
Cicatricial	Scars from trauma, burns, skin conditions, previous eyelid surgeries (e.g., blepharoplasty, laser treatments)
Mechanical	Tumors, cysts, swelling (edema) on the eyelid
Congenital	Present at birth, often associated with genetic disorders (e.g., Down syndrome, blepharophimosis syndrome)
Other	Allergic reactions, certain anti-cancer treatments (e.g., erlotinib, cetuximab, panitumumab)

Conclusion

Ectropion is a common eyelid condition, especially with aging, that can cause discomfort and serious eye problems if untreated. Understanding its causes and symptoms helps patients seek appropriate care. While artificial tears may offer temporary relief, surgery is often the most effective way to restore eyelid function and prevent complications. Various surgical options, including canthoplasty, [eyelid retraction repair](/blog/eyelid-retraction-repair-korea), blepharoplasty, and fat grafting, are tailored to the specific type of ectropion. South Korea is recognized for advanced surgical expertise and comprehensive care for patients considering treatment abroad. Ultimately, treating ectropion aims to improve eye comfort, protect vision, and enhance quality of life.

References

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