Aesthetic blepharoplasty, ectropion and incipient ectropion.

Postoperative ectropion of the lower lid is the most common serious complication of aesthetic blepharoplasty. Important points in the surgical technique are described. The emphasis is on judicious skin excision. The management of postoperative ectropion is outlined. A lax, pre-ectropic lower lid constitutes an additional risk. The technical modifications which will prevent changing an incipient ectropion into a postoperative ectropion are reviewed.