As a result of the natural aging process, environmental factors (i.e. Lateral canthoplasty is the surgical procedure which elongates the outer (toward the ears) aspect of the eyes. An incision is made at the outer edge of the eyelid, beneath the eyelash line and below the outer corner of the eyelids extending into a skin crease. Goldenberg DC, Bastos EO, Alonso N, et al. It involves cutting through the orbicularis oculi muscle, detaching the lateral canthal tendon from the bone at the side of the eye socket, and shortening the lateral canthal tendon. While in some cases, these terms are mistakenly used synonymously, the techniques involved when performing canthopexy and canthoplasty surgery are markedly different: In order to determine whether canthoplasty or canthopexy is appropriate for your specific goals, Dr. Steinsapir will carefully analyze the anatomy of your eyelids, as well as your facial structure as a whole. Topical ophthalmic antibiotic ointment is applied with regular frequency after the procedure until the stitches are removed, typically at 5 to 10 days. Complete healing can take several months. they slant slightly upwards). A stitch is used to reform the lateral canthal angle, and stitches are used to close the skin incision after trimming any excess skin. If you are interested in learning more about canthopexy, canthoplasty, or any other eye enhancement surgery, please contact Dr. Steinsapir’s office today. A canthoplasty is more powerful and complex than canthopexy. Dissection is carried through the eyelid muscle (orbicularis oculus) to expose a section of the lower eyelid tarsus (a connective tissue structural plate of the eyelid) and the bony covering (periosteum) at the outer orbital rim. Canthoplasty is a more invasive procedure than canthopexy. For example, canthal surgery alone is unlikely to make sufficient aesthetic difference to be worthwhile on its own unlike upper eyelid or lower eyelid surgery. the lateral canthus). The lateral canthal angle, where the upper and lower eyelid meet at the outer corner, is horizontally separated. Canthoplasty is generally more powerful than canthopexy, but may involve more risk of rounding at the outer eyelid angle. Howard GR, Nerad JA, Kersten RC. Canthoplasty is ideal for improving a tired or sad expression, restoring a sought-after “cat eye” appearance and creating a more youthful look to the eye area. Cosmetic surgeons perform a canthoplasty to lend a tilt to the eye by changing the original shape of the eyes. Canthoplasty is a form of eyelid cosmetic surgery that reshapes the corners of the eye where the upper and lower eyelids meet. Canthoplasty is performed at the outer corner of the eye (the canthus), in the section where the upper and lower eyelids meet, which is medically referred to as the lateral canthus. "Canthopexy," on the other hand, refers to a less invasive procedure designed to stabilize the existing tendon (as well as surrounding structures) without removing it from its normal attachment. Aug 4, 2019 #3 im_still_here said: It’s normally more invasive as their has to be cutting of the muscle. Dr. Carraway: The types of canthoplasty and canthopexy that we will be considering are tarsal strip procedure, lateral canthal tightening, transposition of the lateral canthal tendon, the dermal-orbicular pennant canthoplasty, and the inferior lateral retinacular canthopexy. Canthopexy and canthoplasty are very commonly performed with blepharoplasty, but can be useful on their own or in combination with fillers in mild cases of retinacular aging or lower-lid ectropion where you don’t need or want a true, full-blown blepharoplasty. It can resolve a saggy eyelid by improving the … Jones JL, Jones MC, Del Campo M. Smith's Recognizable Patterns of Human Malformation, 7th Ed. Canthoplasty is routinely performed by Dr Lamb for cosmetic lower lid surgery. This is similar to a canthoplasty and is often used as a synonym. www.realself.com Reactions: Ethnicsmatter and middayshowers. Canthopexy & Canthoplasty Results. Canthoplsty is surgical procedure for … Canthoplsty is surgical procedure for correction of lower lid malposition or lower lid laxity that caused by lower blepharoplasty, trauma, aging. These procedures are not primary aesthetic procedures. Swelling and/or bruising is commonly seen during the days after the procedure. Canthoplasty and canthopexy refer to procedures that are performed to tighten and support the lower eyelid to correct these issues. unprotected sun exposure), and lifestyle choices (i.e. MINA PLASTIC SURGERY, through Lateral Canthoplasty, enables the clients to have a softer, wider pair of eyes.. Also, unlike the concerns a lot of clients have with the skin … A canthoplasty is more focused on the corner of the eye where the eyelids meet. With a lateral canthopexy, stitches are used to tighten or support the outer corner of the lower eyelid without severing the lateral canthal tendon or the outer eyelid angle. The lateral tarsal strip, one of the most common canthoplasty procedures performed today, is a powerful technique, very useful in cases of profound eyelid laxity or ectropion in which horizontal eyelid shortening is necessary to achieve adequate eyelid tightening.For less-severe eyelid laxity, a canthopexy can be performed through either an upper or a lower eyelid incision, in which the … This enables him to accurately diagnose the underlying structural causes of the lower eyelid sagging, drooping, and/or under eye bags and decide upon the optimal course of treatment. An anesthetic injection with a small needle numbs the area at the outer corner of the eyelids. smoking), our facial skin loses elasticity over time, contributing to undesirable sagging/drooping of the lower eyelids and the development of prominent under eye bags. Canthopexy. Canthoplasty surgery refers to several procedures that reposition the lateral canthus, which is the outer corner of your eyes where the upper eyelids meet the lower eyelids. Keep canthopexy, canthoplasty in your sights This can be provided by a canthoplasty to tighten the medial support. This is a lower lid blepharoplasty in a patient with lower lid skin laxity/dermatochlasis with prolapsed lower lid presptal fat. ‍Eyes with too much skin covering the outer corner appear to be slanted and short, sharpening the gaze and giving a pointy impression. Canthoplasty This procedure, which involves reshaping the eye, should not be confused with canthopexy, which provides additional support to the eye without actually changing its shape. h h. Canthoplasty or canthopexy is a very simple cosmetic technique, involving minimally invasive surgery to lift the external commissure of the eyelids, eliminating the expression of sadness of the look in an ambulatory intervention that lasts approximately one hour.. Lateral canthopexy and canthoplasty (at the outer corner of the eyelids) is more common than medial procedures (at the inner corner). If only a lateral canthoplasty and canthopexy are performed in an individual with a prominent globe, the lid slips under the globe. For most individuals, this junction should be slightly above the medial canthus (where the upper and lower eyelids meet near the nose), to produce a positive canthal tilt, an almond shaped eye, and a firm, smooth lower eyelid. A lower eyelid attachment, the inferior crus of the lateral canthal tendon, is sharply released. They are also used to tighten a loose or sagging lower eyelid, improve the shape or position of the lower eyelid, or to re-attach a displaced lateral canthal tendon. ectropion and entropion),which occurs when the lower eyelid is turned out or in, respectively, resulting in the eye becoming exposed, dry, and vulnerable to corneal abrasions, infections, or scleral show (excessive white showing beneath the iris). Introduction Canthoplasty is the name of an eyelid surgery used to strengthen the lateral canthal tendon and surrounding supporting structure. A canthoplasty may give the eyes a cat-like appearance. The lateral tarsal strip, one of the most common canthoplasty procedures performed today, is a powerful technique, very useful in cases of profound eyelid laxity or ectropion in which horizontal eyelid shortening is necessary to achieve adequate eyelid tightening. Permanent or dissolvable stitches are used, and the strip is attached to the periosteum (the bony covering). Dr. Barry Eppley | February 27th, ... Conversely, a lateral canthoplasty is more invasive and requires fixing deeper tissues of the lower eyelid (tarsus or muscle) to the inner aspect of the lateral orbital rim. Almost all other situations require a more invasive lateral canthoplasty to accomplish the goal of correcting changes in the lateral canthal angle that blunt the angle or make it look more round and less almond shaped. Cathoplasty can be used to help create an upward slant in the outer corner of the eyelid or correct a drooping appearance in this portion of the eye. The goal is to strengthen the tissues of the canthus to help maintain the normal position and relationship between the eyelid and eyeball. The need for these procedures arises when there is lower eyelid laxity, which can occur as a result of age, trauma, or complications from prior surgery or nerve damage. Images: Vemuri S, Tao J Figure 3. 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