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


(Patient has undergone 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 (yellow); 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
Just Before	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.
	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.
Two Months After (upper and lower blepharoplasty with canthoplasty/skin pinch)
Surgery by Dr. Frank Meronk
Canthoplasty - Canthopexy: What's the Difference? (video)