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Is a Canthopexy Sufficient For My Case? (photo)

20 yrs., and looking sick and tired without an expensive amount of makeup around/on my eyes. My eyes are small in relation to my face, and have what I have been told is an anti-mongoloid slant, and thick lids. I am wondering: what procedure(s) are best for this? I have been told a Canthopexy, but I fear that a canthopexy alone, with my thick lids, would result in manly, narrow, tinier-looking eyes. Thanks!

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7 Doctor Answers | Asked by Thea_

Doctor Answers (7)
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You should see a board certified occuloplastic surgeon who specializes in ptosis repair and canthoplasty.

I would recommend that you see a board certified occuloplastic surgeon who can correct the sagging of the outer corners of your eyes and the drooping of you upper eyelids over the top part of your pupils. Ask to see lots of photos of other patients in whom he/she has corrected with these same concerns..

Mark Taylor, MD

Salt Lake City Dermatologic Surgeon

www.gatewaylasercenter.com

Canthopexy Needed?

Based on your pictures, there are a few things going on. Your lids are droopy (ptosis), you have a lower lateral canthus, and it looks like the outer edge of the lower eyelid is pulling away (ectropion). A canthoPLASTY may be a better option. A ptosis repair would also help give a more refreshed result.

Canthopexy for the eyes

Hi Thea_ It's a little tough without better photos but I have to say; nice instincts. I agree with you that the canthopexy alone might allow for a bit of a heavy upper lid and brow. So, that being said, a canthopexy plus a concervative upper blepharoplasty and/or brow lift may be in order. I agree with some of the other doctors who feel that canthopexy is a knee-jerk reaction to your lateral canthal position. So a couple of things: 1. First... more

Chase Lay, MD

21 reviews

Bay Area Facial Plastic Surgeon

www.chaselaymd.com

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There is no so-called ideal position for the canthal angle.

Doctors are funny creatures. We read or hear something once and it becomes dogma. It is taught that the outer canthal angel should be 1-1.5 mm higher than the inner canthal angle. However, this rule is not accurate. The outer canthal angle can be this high, neutral with the inner angle or lower than the inner canthal angle. The most significant factor here is relative symmetry and yes, personal preference. Making a big change in the position of the canthal... more

Kenneth D. Steinsapir, MD

9 reviews

Los Angeles Oculoplastic Surgeon

Canthal procedure to correct downward sloping corner of the eye

The lateral corner of your eye is tilting in a downward direction. Ideally the outer or lateral canthus should be 2 mm higher than the medial canthus. You are correct that this is termed an anti-mongolian slant. There are many surgical procedures that may be used to help correct the problem. This is one structural eyelid abnormality that can be difficult to fully correct. In general, it will require a re-positioning of the corner of your eye. This can be... more

Canthopexy vs. Canthoplasty

Thank you for the question and photos. It would be great to see how your lids relate to the rest of your face which is how plastic surgeons make decisions rather than just focussing on one part. Antimongoloid slant is exactly what you have. It is not ectropion. Repositioning of the lateral canthus is necessary such as what is done when performing a lateral canthoplasty as opposed to a canthopexy which will only lift 1 to 2 mm.

Canthopexy - canthoplasty

Both the upper and lower eyelids attach to the bone around the eye via ligaments at the inner and outer corners of the eye. Your outer attachment point is obviously lower than normal so the upper eyelid is pulled down over the eye a bit and the lower eyelid is pulled down the surface of the eyeball. Because the left eye's attachment point is even lower than the right these changes in eyelid position are more severe on the left. There may be other contributing factors involved but those... more

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