Very difficult to fix eye shape

Vincent N. Zubowicz, MD answers: Redo Canthopexy to correct eye shape?

I had a Blepharoplasty and a midface lift. My eyeshape was altered in such a way that the lower outer half slopes downwards. I had a canthopexy and tarsal strip procedure to correct this 2 months ago. It didn't do any help.

What do you think would be the best way to go now? Should I have the canthopexy redone? Or would a hard palate graft be the way to getting more height in my lower eyelids? What about from behind the ear? Is there a problem with either of these grafts? Is there a more permanant fixture?


Vincent N. Zubowicz, MD
3 months ago

Lower lid malposition after a midface lift is a difficult problem to fix. When the ligament that separates the lower lid from the cheek is violated for the purpose of hoisting the midface, the lid and cheek become one anatomic unit. Any distraction will lead to all types of eyelid aperture problems. 

You must be very careful how you proceed. I have seen patients undergo as many as 50 operations to correct this problem. First, let everything heal for at leas a year.  Then see specialists that deal with your problem regularly and don't be afraid to ask questions.

Sometimes, the best solution is to leave well-enough alone even if it is not what you want.

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