@plastic.touch: Did you know? In lower blepharoplasty with an external incision, if the surgeon disrupts the orbicularis oculi muscle without properly repositioning it, it can weaken eyelid support and lead to lower lid retraction or ectropion over time! This is why advanced surgeons often use techniques like muscle suspension (ORBICULARIS RESUSPENSION) or canthopexy to maintain a natural eyelid position and prevent complications.