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Figure 3. Surgical correction of cicatricial lower eyelid ectropion in a 38-year-old male patient. (A) Preoperative view showing severe right periorbital trauma with tissue loss and a midface defect (30 mm × 20 mm). EGS grade V ectropion prior to definitive reconstructive surgery, with complete conjunctival exposure, punctal eversion, and lagophthalmos; (B) Baseline status on postoperative day 7 (after suture removal, before application of the custom low-temperature thermoplastic splint) following reconstructive surgery, demonstrating persistent EGS grade III ectropion with conjunctival edema; (C) Status immediately after splint application on postoperative day 7 showing immediate improvement in lid-globe apposition; (D) At the 8-week interim assessment, mild swelling of the lower eyelid was observed; (E) At the 6-month postoperative visit, although EGS grade III ectropion with mild scleral show persisted objectively, satisfactory eyelid contour was achieved and the flaps and scars healed without complications. The patient reported being satisfied with the aesthetic outcome. EGS: Ectropion grading scale.