V-Y advancement flap technique for severe cicatricial lower eyelid ectropion: A case report and outcome assessment

A 63-year-old male with severe cicatricial lower eyelid ectropion was treated with the V-Y advancement flap technique. This method alters lateral tension to counteract excessive longitudinal tension, effectively correcting ectropion caused by scar traction. The V-Y technique not only simplifies surgical incision design with minimal risk of flap failure but also demonstrates the efficiency and flexibility of tension redistribution. Compared to full-thickness skin grafts or other flap techniques, it provides superior aesthetics and a more natural appearance. This technique serves as a valuable alternative and expands treatment options for cicatricial lower eyelid ectropion.