At what age can I start applying Botox?Ectropion is due to excessive laxity of the lateral canthal tendon of the lower eyelid. Therefore, the surgical tightening of this tendon usually fixes the ectropion. The lateral strip procedure is the gold standard for the treatment of ectropion. It is a quick and safe operation done under local anesthesia in the doctor’s office or an outpatient clinic. The surgeon makes a tiny incision on the eyelid’s outer corner and uses a non-absorbable suture to tighten the canthal tendon. The success rate of this procedure is very high, and the risks of complications are low.