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Manish H. Shah, MD answers: Can a canthoplasty be reversed?

I had canthoplasty to correct one round eye (lower lid sclerosis) and one elongated eye (droopy lower lid). While eye symmetry is improved, both eyes are much smaller, one worse than the other, with lower lids and  tighter corners. Would a buccal fat transfer to both upper lids, TransBleph of the lower brow, and lowering of higher brow correct this? Do you know any Australian doctors who could fix this?


Manish H. Shah, MD
6 months ago

When was your surgery and for what reason?

Had you had previous blepharoplasty surgery that developed complications?

Waiting is your best bet as many structures loosen with time.  Canthoplasty is designed to enhance lower lid support and decrease the risk of exposure to your cornea, etc. It typically doesn't have any effect on position of the upper lid unless your surgeon purposely creates scar to narrow the outer corner of your eye. You were used to seeing a big open eye because of the looseness of the lower lid. Tightening created a smaller opening, but enhanced function of and protection by the eyelid. You must have been having complications that necessitated lid repair like dry eyes, excess tearing, corneal exposure, etc. I agree with Dr. Seckel with regards to a reversal of course being the wrong way to go. 

Fat grafting to the upper lid can be used to fill out hollow upper lids and is an alternative to brow elevation procedures. I doubt you want to lower your brow as your eyes will look even smaller.

Know your goals before embarking on such complex revision surgery.

In my opinion, one of the best blepharoplasty surgeons in Australia is Bryan Mendelson. Dr. Steinsapir also provides a list of oculoplastic surgeons that may work for you.

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