This method is the standard treatment for patients with mild and moderate palpebral ectropion or for those whose lower eyelid still has elasticity. The surgery mainly involves regional or overall resection via the original lower eyelid incision, which releases and detaches adhesive scars inferior to the eyelids, suspends the lower eyelid muscle and skin to the lateral eye corner, and fixates the loose skin with non-absorbable sutures to the ligament and periosteum lateral to the orbital bone. In this way, it elevates and tightens the overall lower eyelid skin and prevents the recurrence of eccrctropion. This surgery causes temporary or persistent eye shrinkage or eye shape change (ex. slanted eye), which needs approximately more than 3 months of recovery and observation to confirm surgical success.