How can canthoplasty result be corrected?

A canthoplasty procedure was performed during my lower lid blepharoplasty and it has never felt or looked right. The blepharoplaty incision was made below the lashline, in a fold, and then curved sharply upward and joined to the canthoplasty incision.

That area now looks distorted and, oddly, the skin from my outer brow is pulling to the eye's corner in a visible line.

One surgeon has suggested laser to tighten, but I don't see how this can correct the poor tissue arrangement. Are there other ways to best correct this?

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7 answers to “How can canthoplasty result be...”

A: Revision canthoplasty should be done by experienced oculoplastic surgeon

By William Portuese, MD - Seattle Facial Plastic Surgeon

There are revision canthoplasty techniques that can be performed. These procedures are rather difficult and complicated and need to be addressed in a consultation with an oculoplastic surgeon who has performed thousands of these types of surgeries. It is very important to go to somebody who is experienced... more

A: Laser will not correct canthoplasty deformity

By Brooke R. Seckel, MD - Boston Plastic Surgeon

Laser resurfacing will tighten the skin which is the opposite of what you want. You need to have the canthoplasty revised and released to drop the corner of the eye and lessen the fold of the upper eyelid and brow area. This is a complex and delicate surgery, and requires an experienced board certified plastic... more

A: Distorted Skin from Canthoplasty

By Tanveer Janjua, MD - Bedminster Facial Plastic Surgeon

Z-plasty or a skin graft might be the answer. The distortion of skin is likely from wound contracture pulling on the skinof the lateral (side) upper eyelid and the brow. To minimize that pull you need scar reorientation using a technique called Z-plasty. Sometimes the scar tissue under the skin can be causing... more

A: Visit an oculoplastic surgeon

By D.J. Verret, MD - Dallas Facial Plastic Surgeon

Sorry to hear you had a poor outcome from your surgery. I would suggest seeking out an oculoplastic surgeon. These surgeons are specially trained ophthalmologists who only perform eyelid reconstruction and cosmetic surgery.

A: Canthoplasty results could be reversed

By Hisham Seify, MD, PhD - Orange County Plastic Surgeon

Yes, a canthopexy could be reversed and revised. A picture would be very helpfull to determine the degree of canthal abnormality present and the need for different surgical techniques to address them. A word of caution: it is always wise to wait until the lower eye lid "settles in the final location"... more

A: Tough Problem to Correct

By S. Randolph Waldman, MD - Lexington Facial Plastic Surgeon

In my opinion there are only a handful of MD's who I would think have the expertise to repair this type of deformity. For those who are a little less knowledgeable a canthoplasty is usually done when the lower eyelid lacks sufficient support. It is an operation that might be a little overused in my... more

A: Repairing Canthoplasty results require specialized knowledge and techniques

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

Dear SaraFina Lower blepharoplasty performed through an incision below the lower eyelid lashes can easily distort the lower eyelid and the lateral canthal angle. Often inexperienced (and experienced) surgeons may not possess the training and experience to analyze the post-surgical problem and repair it.... more