What to do if lower eyelid surgery results in inversion? Effective solutions.
Consulting doctor:
Dr. Nguyen Thi Ly Na, Senior Specialist
Dr. Eye has encountered several cases of lower eyelid retraction due to procedures performed at untrustworthy clinics. If left untreated, this condition may lead to looseness of the eyelid lifting muscles, making complete treatment very challenging later on. For these cases, Dr. Eye offers effective solutions to restore the beauty of the eyes and prevent serious complications. We invite you to explore the details in the following article!
1. Signs of Lower Eyelid Retraction
Lower eyelid retraction is a condition where the lower eyelid is turned outward partially or completely, failing to hug the eyeball, and the eyes do not close completely,… Accompanied by other signs such as:
- Excessive tearing: The retracted lower eyelid causes tears to accumulate and continuously flow out.
- Severe dryness: A retracted eyelid can lead to excessive dryness, resulting in a constant feeling of eye fatigue.
- Light sensitivity: Accumulated tears or dry eyes can irritate the corneal surface, making the eyes increasingly sensitive to light.
- Eye irritation: Irritated eyes may cause itching, burning, and a sensation of something in the eye.
2. Risk Factors and Causes of Lower Eyelid Retraction
The condition of lower eyelid retraction can be caused by several factors, including:
- Improper surgical technique by the doctor: During eyelid surgery, the doctor may remove too much skin or create an incorrect incision.Excessive tension on the sutures can lead to lower eyelid eversion.
- The doctor does not follow sterile principles: Ignoring cleaning and disinfection steps, and using non-sterile equipment can also cause lower eyelid eversion.
- Clients improperly care for the post-operative area: Actions such as frequent contact with the wound, not cleaning or changing dressings within 24 hours after surgery, etc., can also lead to undesirable results.

3. Does lower eyelid eversion have any effects?
Lower eyelid eversion can affect aesthetics, vision, and increase the risk of certain eye conditions. Specifically as follows:
- Causes aesthetic loss: Lower eyelid eversion detracts from the beauty of the eyes and the overall face. This can lead to feelings of fear and insecurity in daily interactions.
- Increases the risk of eye conditions: The condition of lower eyelid eversion can lead to eye issues such as congestion, conjunctivitis, corneal ulcers, etc.
- Affects vision: Lower eyelid eversion causesThe right eye has to adjust a lot, leading to blurred vision, reduced visual ability, and even permanent blindness.
4. Solutions for Addressing and Correcting Lower Eyelid Surgery Complications
Long-term lower eyelid inversion can lead to looseness of the eyelid lifting muscle, making complete correction very difficult later on. Therefore, you should seek examination and treatment as soon as possible to limit complications. Accordingly, for each specific case of eyelid inversion, the doctor will have different corrective methods. Here are some solutions for addressing lower eyelid surgery complications:
- Applying adhesive tape to secure the eyelid and injecting steroids into the fat pad
This method is often applied if lower eyelid inversion is accompanied by signs of inflammation. Depending on the condition of the eyelid inversion, there will be different ways to apply the tape. If the lower eyelid is inverted on the inside and middle, you should pull the skin of the lower eyelid upwards with your hand and apply the tape in an upward direction. If there is significant inversion on the outer part of the lower eyelid, you should pull the skin towards the outer corner of the eye and then secure the tape at that point.
- Eye massage
In cases where adhesive tape has been used but is ineffective, you can massage the eyes combined with steroid ointment for 3 – 6 months. This helps speed up the healing process and supports the muscles around the eyes to be stronger. To massage, apply a warm cloth to the eyes for about 5 – 10 minutes, then use your fingertips to gently roll in a circular motion around the eyes.
- Using waterartificial tears
When the lower eyelid is turned out, causing dryness and discomfort, the doctor will recommend using artificial tears to soothe and moisturize the eye area. You should use the type of artificial tears prescribed by your doctor to ensure safety.

- Eyebrow Surgery
If the lower eyelid does not improve after treatment, the doctor will perform surgery to remove a portion of the lower eyelid. At the same time, tightening the tissue and muscles around the eyes will create a new, firmer eyelid and effectively improve the turned-out condition.
- Skin Grafting
If the eyelid surgery was performed incorrectly, removing too much skin and leaving insufficient skin on the lower eyelid, the doctor will perform skin grafting. Specifically, the doctor will take skin from behind the ear or from the upper eyelid and graft it to the turned-out area, restoring fullness to the lower eyelid skin.
Especially, to achieve safe and optimal results in correcting turned-out lower eyelids, you should choose a reputable aesthetic clinic with a team of skilled and experienced doctors.
At Dr. Eye clinic, our team of doctors with over 5 years of experience in eye aesthetics will advise you on a treatment plan suitable for addressing the turned-out eyelid issue.Human-centered, prioritizing minimal intervention. The clinic is committed to providing honest, accurate, and comprehensive consultations based on scientific evidence, fully addressing the desires of clients. With the lower eyelid surgery service, Dr. Eye ensures results that meet safety standards, natural alignment with facial features, and no unsightly scars, with effects that may last long-term.
The clearest evidence of Dr. Eye’s expertise and service quality is the satisfaction of clients who successfully restore the natural, attractive beauty of their eyes.
Below are images of clients who underwent lower eyelid surgery at Dr. Eye for your reference:




View the pricing for lower eyelid surgery at Dr. Eye HERE and schedule an appointment with the doctor for an effective eyelid correction consultation!
5. When can you correct a droopy lower eyelid after eyelid surgery?
You can address a droopy lower eyelid 3 to 6 months after surgery, as this is when the wound has fully healed, the skin has regained elasticity, and is ready for further treatment intervention. In cases of droopy lower eyelids, prompt revision surgery is necessary.Surgery should be performed after about 3 months; delaying may cause the skin to heal slowly and increase the risk of scarring.
6. How can you prevent lower eyelid inversion?
In addition to lower eyelid inversion, improper eyelid surgery and inadequate post-operative care can lead to other complications such as ptosis, swollen eyelids,…
Therefore, it is best for women to choose a reputable beauty clinic from the start to ensure a safe and optimal treatment experience. Additionally, you should not pursue beauty trends; only undergo eyelid surgery when there are specific concerns such as sagging lower eyelids, excess skin on the lower eyelids, or the presence of under-eye bags. This should be accompanied by necessary conditions regarding skin structure, overall health,…

7. Frequently Asked Questions About Lower Eyelid Inversion
Below are some common questions regarding lower eyelid inversion that women may find helpful:
7.1. Is it harmful if the lower eyelid is inverted for a long time after surgery?
The lower eyelidIf left untreated, droopy eyelids can lead to looseness in the eyelid lifting muscles, making future corrections more difficult. Therefore, if your lower eyelid has become droopy after surgery, it is advisable to consult a doctor for guidance on treatment. 0899 099 799.
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References
- Mayo Clinic. Ectropion. 05 02 2021. https://www.mayoclinic.org/diseases-conditions/ectropion/symptoms-causes/syc-20351164#:~:text=Ectropion%20(ek%2DTROH%2Dpee,affects%20only%20the%20lower%20eyelid. (accessed 31 01 2024).
- Ann Pietrangelo. Ectropion. 10 11 2020. https://www.healthline.com/health/ectropion. (accessed 31 01 2024).
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