Canthopexy after Blepharoplasty?

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7 answers to “Canthopexy after Blepharoplasty?”

A: Wait. Your surgeon should always evaluate your lower eyelid stregth before the surgery

By Paul L. Leong, MD - Pittsburgh Facial Plastic Surgeon

You should definitely wait at least six months prior to considering a revision surgery. There are a range of conservative measures that should be considered by you and your surgeon during that period of time. These include taping, massage, and possibly a temporary suture to help support the lower eyelid. The... more

A: Wait 6 months before revisions

By Christopher L. Hess, MD - Fairfax Plastic Surgeon

Ectropion is a result of many things during lower lid blepharoplasty, removal of too much skin, scarring of the orbital septum or damage to the muscle. However, during a normal blepharoplasty we do things that we know will create ectropion so other things must be done to counter this. A canthopexy... more

A: Patience after Blepharoplasty is essential

By Robert M. Freund, MD - New York City Plastic Surgeon

Dear Scared in FLA., The biggest risk to lower lid blepharoplasty is over resection of the skin or muscle resulting in pulling down of the lower lid reminiscent of a bloodhound. Some high profile stars in Hollywood have had these problems - Burt Reynolds, Jack Lemon, etc. In these cases, the proper treatment... more

A: Wait 4-6 months before canthopexy to correct ectropion

By Brooke R. Seckel, MD - Boston Plastic Surgeon

Canthopexy can often be used to correct ectropion or scleral show after Blepharoplasty. However, I would not do a canthopexy until I was certain that you had an ectropion and would wait 4-6 months after your surgery. If you have scleral show or ectropion in the immediate post operative period (the first 3-6... more

A: A canthopexy is seldom the correct procedure.

By Kenneth D. Steinsapir, MD - Los Angeles Oculoplastic surgeon

Dear Scared First being only a few weeks after surgery, it is very difficult to know how you will actually heal. Some things get better and some things get worse in time. Second, lets get our terminology correct. An ectropion is an outward roll of the lower eyelid such that there is a... more

A: Too early for surgery

By Scott E. Kasden, MD - Dallas Plastic Surgeon

You need to give the tissues a chance to heal, and the swelling to resolve. You should focus on conservative (i.e., non-surgical) techniques to resolve the problem. Thes include massage, taping, and possibly oral steroids. All of these should be under the direct guidance of your plastic... more

A: Yes

By Robin T.W. Yuan, MD - Beverly Hills Plastic Surgeon

Sometimes canthopexies are a big help and even necessary for lower lid malposition. But be careful since it can also exacerbate a problem if the correct diagnosis is not made. Sometime your lower lid needs more than a canthopexy or may need support from below the eyelid and a canthopexy may actually pull the... more