Will Canthopexy Help Eyes Made Too Small After Lower Eye Lift?

Had lower eye lift then 6 weeks later fractional co2 laser. Now 1 year out of surgery the outer corners of my eyes are too tight and lower lids pulling down, making eyes small and rounded. Ps has suggested a canthopexy, I am very worried as this will make my eyes smaller. Would very much appreciate your views.

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6 Doctor Answers | Asked by 5040anon in uk

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Consult with oculoplastic surgeon RE: canthopexy

It is best to seek out a consultation from an oculoplastic surgeon regarding a canthopexy. If done properly, it should not make your small eyes any smaller. The idea is to pull the lower lids upwards and outwards so as to not have a saggy lower lid.

Correcting pulled down eye shape with a canthopexy or cheeklift

Correcting postoperative unfavorable eye shape is a complex problem. The old paradigm of just doing a canthopexy for an unfavorable postoperative lower eyelid shape is antiquated. A canthopexy alone can yield a still centrally rounded eye with a severe upturn on the sides where the canthopexy is strongest. More often than not, a cheeklift may be required to elevate the cheekpad and "give" tissue to the lower eyelid, thus enabling an eye shape correction to... more

Canthopexy helps to support the lower eyelid

Canthopexy is used to support the lower eyelid and it is one way to treat horizontal laxity. I doubt that it would provide benefit in your case, but not enough information is provided to make that determination. A repeat visit with your operating surgeon is necessary and you should ask why this happened, what the various alternatives are that will improve your condition, etc. If you are confused or disagree then you should see another surgeon for a second opinion. ... more

A canthopexy is most likely going to be disappointing.

"If you are a hammer then the world looks like a nail." Unfortunately the canthopexy may be the only canthal/lower eyelid repair surgery your surgeon is familiar with. However, a canthopexy only "supports" a lower eyelid. When the lid has been compromised by surgery and laser resurfacing, it is often necessary to resort to more powerful corrective measures. I would recommend to look to identify eye plastic surgeons who devote a significant... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Canthopexy

In that the canthopexy is designed to tighten the sagging lower lid, it will probably shorten the vertical height of the orbital aperture making it appear smaller although it might also elongate the horizontal aperture making the eye look wider..

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

Small eyes

We need more information to help with your question, and we need photos too. You may have had a lower blepharoplasty via a skin incision, and often times this can result in the lower lids getting pulled down afterwards. Maybe you see the white of your eyes now in between the lid margin and the colored part of your eyes, where you didn't (and usually shouldn't) beforehand. In these situations, the outer corner of the lids can become more rounded and the... more