I am a Board Certified Plastic Surgeon. Even skilled board certified surgeons, however, have complications. The nature of surgery is to have potential complication. The knife and healing are nothing like manipulating an image on a computer. An ectropion can be a complication of eyelid and facial surgery.
Some problems are temporary and work themselves out with some massaging, taping, and time.
Others require surgical intervention. In certain patients are at much greater risk for eyelid complications with only a marginal tone before surgery. I recommend techniques to improve the lid tension AS PART of the facelift surgery in such patients. Usually after a face lift the face is more tight, extra fat and excess skin are removed. Many patients have some diminished sensation in the elevated skin flaps near the ears.