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Eyelids that sag and turn outward is a condition known as Ectropion. Generally affecting the lower lid, this out-turning causes a gap between the eyelid and the eyeball, exposing the surface to the air and causing excessive dryness, tearing, crusting, irritation and sensitivity to light. The eyelid turns red and thickens. This condition most commonly occurs as we age and the eyelid tissues and tendons become stretched out. Other causes include facial paralysis, eyelid growths, previous eyelid surgeries and trauma.
Ectropion surgery, determined by the cause and the condition of the tissue, is normally performed as outpatient surgery under local anesthetic and possibly light IV sedation. Following surgery, you will experience minimal discomfort and some swelling and bruising, which should be gone within two weeks. Most patients can resume normal activities in one to two weeks.