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BLEPHAROPLASTY 101

Topic 19 - 5
Canthoplasty
Surgical Series
lateral canthopexy photos Lateral Canthus lower eyelid fat repositioning

Surgery photos

Canthoplasty may be performed using a variety of different surgical approaches. The photo series shown here is a modified tarsal strip resuspension performed in conjunction with upper and lower blepharoplasty.

The patient shown below has undergone already upper eyelid blepharoplasty and transconjunctival fat removal just prior to these photos.

1. Demonstration of excessive lid laxity


2. Skin incision down to muscle


3. Full thickness eyelid cut at lateral canthus


4. Suture placed through exposed
tarsal plate after trimming away
surrounding soft tissue


5. Exposure on bony rim and lining;
suture placed through periosteum


6. Suture pulled to desired level to
reshape and reinforce


7. Suture attaching incised eyelid
to new position at canthus


8. Excess skin to be removed


* * *


Before Surgery


Immediately After

Lower eyelid has been repositioned at a higher level with improved shape (less rounding) and firmly supported to allow for necessary skin removal without inducing eyelid retraction. Note significant improvement in lid/cheek contour.


Two Months After
(upper and lower blepharoplasty
with canthoplasty/skin pinch)

Canthoplasty is most often performed along with other procedures (such as transconjunctival fat removal/repositioning, chemical peel, SOOF lift, etc.) as part of a more comprehensive lower eyelid rejuvenation. Skin is not removed in all cases.

Next: Fat Repositioning


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