Frequently when performing the transcutaneous blepharoplasty the orbicularis muscle is denervated, and the lid tone is diminished. As the tone of the muscle returns, the lid position should as well. To prevent ectropion (lid margin eversion) you should start regular upward massage of the lid several times daily for 3 to 5 minutes (at least 3 times a day) starting two weeks after surgery. This will improve the lid tone and lid position. Lower blepharoplasty takes one year to fully mature into postoperative results.
