The photo is not very clear, and you can't see the tension and scar of the skin. Lower eyelid ectropion depends on what causes it. If it is caused by scar contraction, just loosen the scar and repair it locally. If the skin is defective, you may need a flap, and you need to come to the hospital to make a plan.

(Dr. Li Jin from the Ninth People's Hospital of Shanghai solemnly reminds me that because I can't meet the patient face to face, I can't fully understand the condition. The above suggestions are for reference only. Please go to the hospital for specific diagnosis and treatment under the guidance of a doctor! )