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Ectropion of eyelids indicates out turning of eyelids. This may occur due to various causes such as loosening of eyelid structures in elderly, or a skin scar that pulls the eyelid outward among various causes. The cause is aging induced changes in eyelid soft tissues that lead to an outward turn of eyelids. Patients have continuous watering of the eyes due to this issue despite the water drainage pathway being patent. The treatment involves a eyelid tightening procedure under local anaesthesia as daycare, to correct all the factors leading to this problem . It takes about A month after surgery, he was seen to be healing well and had no watering issue. Ectropion due to skin shortening or scar will likely require a skin graft for correction.