fig1

Figure 1. Steps for Fabrication and Fitting of the custom thermoplastic lower eyelid splint. (A) A paper template is trimmed according to the patient’s lower eyelid contour; (B) The thermoplastic material is softened in a 65-70 °C water bath and molded directly onto the lower eyelid to achieve precise conformity to the periorbital anatomy; (C-a and C-b) Pre-splint frontal and lateral views showing left lower eyelid ectropion; (D) Correct wearing method: the two upper straps are secured upward at an angle of approximately 45°, while the two lower straps are secured behind the ear; (E) Post-splint frontal view demonstrating upward biomechanical support and complete cosmetic correction.