Ectropion in Dermatologic Surgery: Exploration and Reconstruction Techniques

Actas Dermosifiliogr (Engl Ed). 2020 Apr;111(3):229-235. doi: 10.1016/ Epub 2020 Feb 6.
[Article in English, Spanish]


Ectropion, or eyelid eversion, is the most common form of eyelid malposition. By impairing the eyelid's protective function, ectropion can cause epiphora, lagophthalmos, keratinization, chronic irritation, pain, and ulceration. There are 5 types of ectropion, each with a different cause: congenital, paralytic, involutional, cicatricial, and mechanical. The most common presentation in dermatology is involutional eversion with a mechanical or tractional element. Several options exist for the surgical repair of ectropion and choice of technique will depend on the main pathogenic component. We review the basic anatomy of the eyelid and describe examination techniques for assessing risk and preventing ectropion and for identifying the main pathogenic component in order to select the most suitable repair technique.

Keywords: Cirugía cutánea; Cosmetic techniques; Dermatologic surgical procedures; Ectropion; Ectropión; Procedimientos dermatológicos quirúrgicos; Procedimientos quirúrgicos reconstructivos; Skin surgery; Surgical reconstruction procedures; Técnicas cosméticas.

Publication types

  • Review

MeSH terms

  • Dermatologic Surgical Procedures
  • Ectropion* / etiology
  • Eyelids / surgery
  • Humans
  • Lacrimal Apparatus Diseases*
  • Skin Neoplasms*