Objective To investigate the effect of lower eyelid skin orbicularis muscle resection on correction efficacy and appearance satisfaction in children with lower eyelid entropion. Methods A total of 52 children with lower eyelid entropion admitted to the Department of Ophthalmology, Xingyi People's Hospital from March 2022 to December 2024 were selected as the research subjects. According to the random number table method, they were divided into the and divided into the control group (n =26) and the observation group (n =26). The control group was given traditional suture technique, and the observation group was given lower eyelid skin orbicularis muscle resection. The correction efficacy, appearance satisfaction and complication rate were compared between the two groups. Results The total effective rate of correction in the observation group (96.15%) was higher than that in the control group (73.08%) (P <0.05). After treatment, the satisfaction scores of eyelid curvature symmetry, eyelid contour naturalness, scar concealment and eyelid movement fluency in the observation group were higher than those in the control group (P <0.05). The incidence of complications in the observation group (7.69%) was lower than that in the control group (23.08%) (P <0.05). Conclusion The lower eyelid skin orbicularis muscle resection for children with lower eyelid entropion can effectively improve the correction efficacy, with high postoperative appearance satisfaction and low incidence of complications. Its therapeutic efficacy and safety are better than the traditional suture technique, which is worthy of clinical application.