Ectropion is a condition where the eyelid margin is rotated away from the eye. It is often associated with eversion of the lacrimal punctum with tearing, and an increased lateral canthal angle. Involutional ectropion is related to aging changes and laxity of the lower eyelid, especially the lateral canthal tendon. Cicatricial ectropion is caused by shortening of the anterior lamella (skin/muscle) from scaring or sun-exposure contraction. Repair involves reattachment of the lower eyelid retractor, horizontal eyelid shortening, excision of scars, or anterior lamellar lengthening with a skin graft.