Objective To explore a modified incision to solve the separation and lower eyelid ectropion after traditional blepharoplasty. Methods From June 2008 to October 2016, 338 cases received blepharoplasty were retrospectively analyzed. The combined double shuttle like incision (n=143) and traditional incision (n=195) were both used to correct the lower eyelid laxity. The postoperative complications were compared. Results The lower eyelid laxity was corrected in both two groups. No lower eyelid ectropion and separation were observed in the combined double shuttle like incision group, while the incidence of lower eyelid ectropion and separation in the traditional incision group were 1.03% and 4.87% respectively. There was significant difference between the two groups (P<0.05). Conclusion The combined double shuttle like incision can reduce the incidence of separation and lower eyelid ectropion. It is safe and reliable, and is worthy of clinical application.