Eyelid Surgery: Q&A
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Does an Under Eye Skin Pinch Need to Be Associated with a Canthopexy to Prevent Ectropion? (photo)
I am a 24 year old female and I have lax skin under my eyes, which creases up when I smile and forms wrinkles. If I place a finger just bellow my eyelashes and pull the skin up, I notice that the skin is tightened and the wrinkles are a lot less visible. I am hoping to benefit from an under eye skin pinch, but have heard that this can cause the lower eyelid to turn outwards. Should this procedure always be associated with a canthopexy to prevent ectropion? Thankyou for your help
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12 Doctor Answers |
Asked by
lilofr
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Lower eyelid skin removal and ectropion
Mornin' Lilo. Get a couple of consults with Oculoplastic or Facial Plastic surgeons before doing anything. At your age lid laxity is a little unusual. HOWEVER, in your photo your eyes are big and quite attractive but those nice big eyes and your cheek bones make for what's called a "negative vector." Yours is probably not bad at all but I can't tell without an exam. Because of your anatomy you are at slightly more risk for retraction or ectropion so whom ever...
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Lower Eyelid Pinch
Without a formal evaluation, it is hard to determine whether or not you will need a canthopexy in addition to a lower eyelid pinch. Sometimes this can be done without a canthopexy. Please consult with a board certified specialist who can best assist you in achieving the results you seek.
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Depends
The answer to your question can only be given after an "in-person" consultation. The tone of the canthal ligaments [what attaches your eyelids to the bone] will determine if you need tightening of the eyelids or not. Most younger patients do not need tightening, as long as the lower lid blepharoplasty is via a conservative pinch excision of skin as opposed to an aggressive skin-muscle flap.
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Need for canthopexy
A canthopexy is used to tighten the canthal tendon, and prevent the lid from pulling down when lower eyelid surgery is done. It is typically used when the lower lid has loosened with age. There are methods of examining the area at the time of your consultation to determine if you will need one.
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Does an Under Eye Skin Pinch Need to Be Associated with a Canthopexy to Prevent Ectropion?
There is NEVER an ALWAYS in plastic surgery. Some patients need only the "pinch" while others could benefir from a canthopexy. Seek in person evaluations
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Lower eyelid lines and wrinkles
It is very unusual for a 24 year old to have much excess lower eyelid skin. Fine lower eyelid wrinkles is not equal to excess lower eyelid skin and lower blepharoplasty with removal of lower eyelid skin to remove all lower eyelid fine wrinkles is fraught with complications. You should have your vision checked and if you are a smoker quit because squinting regularly from either cause can create these wrinkles. This muscle action will not change because you removed some skin or lasered it. If...
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Los Angeles Plastic Surgeon
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Pinch Lower Blepharoplasty and Lateral Canthopexy
For most lower eyelid pinch techniques, a lateral canthopexy is not needed. The main principle behind a pinch excision technique is that minimal skin (3 to 5mms) is removed. When more than that is removed, consideration should be given to a lateral lid tightening.
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Lower blepharoplasty with skin pinch
Lower blepharoplasty with skin pinch does not always need to be combined with a canthopexy, particularly in someone who is young and has good eyelid tone. Canthopexy is only required if the lid is weak or already has some preoperative laxity.
Dr. Jamil Asaria
FACE Toronto
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Lower Eyelid surgery for young women in Los Angeles
Lower eyelid pinch blepharoplasty is designed to remove excess lower eyelid skin with minimal cause for ectropion. Especially in a young woman the chance of ectropion is very small after a lower eyelid tuck such as this.
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Canthopexy and skin tightening lower lids
Based on the photo you submitted, you do have what is referred to as "scleral show," that is the white of your eyes can be seen underneath your colored iris. It is indeed likely that you need a canthopexy to tighten your lower lid, since if the surgeon just tightened the skin, your lid would likely pull lower. In point of fact, a canthopexy will elevate your lower lid while getting rid of the scleral show and may be all that is needed to tighten the skin. A canthopexy would, of course,...
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San Francisco Plastic Surgeon
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Lower blepharoplasty for excess skin in 24 year old.
Not only should you not need a canthopexy you doNOT need your lower lid skin operated on!!!! No surgery please--your eyes are great the way they are Nd u can always find someone to operate on you.
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Lower eyelid pinch
If a lower eyelid pinch procedure is done correctly, it should not make the lower eyelid turn outward. The problem that can occur is lower eyelid retraction, if too much skin is removed. The difference is that in retraction, the eyelid is just pulled downward. In an ectropion, the eyelid is turned outward. A canthopexy is normally not needed when performing lower eyelid pinch surgery. As long as the right amount of skin is removed, there should not be any...
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