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Redo Canthopexy to Correct Eye Shape?

asked 2 years ago by ernurse in Australia
Latest answer by Vincent N. Zubowicz, MD
Question viewed 874 times
Tags: eyes

I had a Blepharoplasty and a midface lift. My eyeshape was altered in such a way that the lower outer half slopes downwards. I had a canthopexy and tarsal strip procedure to correct this 2 months ago. It didn't do any help.

What do you think would be the best way to go now? Should I have the canthopexy redone? Or would a hard palate graft be the way to getting more height in my lower eyelids? What about from behind the ear? Is there a problem with either of these grafts? Is there a more permanant fixture?

Read my review "Unhappy with Result of Blepharoplasty and Mid Facelift for Eye Bags - Australia"

2 answers to Redo Canthopexy to Correct Eye Shape?

+1

Very difficult to fix eye shape

Lower lid malposition after a midface lift is a difficult problem to fix. When the ligament that separates the lower lid from the cheek is violated for the purpose of hoisting the midface, the lid and cheek become one anatomic unit. Any distraction will lead to all types of eyelid aperture problems. You must be very careful how you proceed. I have seen patients undergo as many as 50 operations to correct this problem. First, let everything heal for at leas a year. Then see specialists... more
Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon
+1

Complicated surgery

It sounds like you have a fairly complicated problem. You shouls eek out a surgeron who has a great deal of experience in eyelid surgery and you should come up with a plan that you are comfortable with. I personally prefer a capsulopalpebral fascia release and an interposition graft using either autologous dermis or alloderm along woth a strong canthal support procedure.
W. Tracy Hankins, MD

Las Vegas Plastic Surgeon

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