Frequently when performing the transcutaneous blepharoplasty the orbicularis muscle is denervated and lid tone is diminished. As the tone of the muscle returns the lid position should as well. To prevent ectropion (lid margin evertion) two weeks after surgery you should start regular upward massage of the lid several times daily for 3 to 5 minutes (at least 3 times a day). This will improve lid tone and the lid position. Lower blepharoplasty takes one year to fully mature into post operative results.