Ectropion is a turning or rolling out of the eyelid edge or margin away from the eyeball. This can lead to tearing, red, irritated and inflamed eyes and even eye infections. Causes include age-associated looseness or tightness of facial skin from sun-damaged or scarring from burns/trauma/prior eyelid surgery/skin cancer excision. Other causes include paralysis of the facial nerve and repeated rubbing or stretching of the eyelid. Surgical correction technique depends on the cause and commonly involves tightening of loose eyelid tendons, but may require skin grafting or more extensive surgery.