Failed Canthoplasty 8 Weeks Ago, No Results, Suggests Canthopexy?

I had a canthoplasty on my right eye 8 weeks ago to correct a mild ectropion after a lower blepharoplasty went wrong. During the last two weeks my eye has gone back down again and looks the same as it did before. I am going back to see the oculoplastic surgeon who performed my canthoplasty but not my blepharoplasty. He suggested I may need a canthopexy? I am very concerned about this as I do not want to go through another op that could fail or even make things worse. Please help what should do?

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4 Doctor Answers | Asked by Shazz in Hertfordshire

Doctor Answers (4)
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May need more aggressive surgery

Whether you have a canthoplasty or canthopexy [and these terms are often used interchangeably by some surgeons] they both involve tightening the eyelid, which may be counterproductive. You may need lower eyelid retraction repair to help lengthen the eyelid vertically. This is done by grafting tissue [many different options available] to the backside of the eyelid. Posting photos would be helpful for us to give you a better opinion. If you decide to explore this... more

A.J. Amadi, MD

14 reviews

Seattle Oculoplastic Surgeon

seattleface.com

Lower eyelid retraction

If the lower eyelid is under tension (or tight), then a canthopexy or canthoplasty alone won't resolve the problem. The tension or tightness needs to be relieved also. Discuss with an oculoplastic surgeon.

If a canthoplasty did not get the job done, a canthopexy won't either.

A cathopexy is a weaker version of a canthoplasty. A canthoplasty is a deep reconstruction of the lateral canthal angle. It is the strongest form of canthal surgery. The problem is most likely that the "mild ectropion" you have is a more profound structural issue than you and your most recent surgeon realize. A canthoplasty is not really capable of supporting the lower eyelid, which unfortunately is news to many canthal surgeons who rely on this as their go... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Lower eyelid retraction

A canthopexy may be beneficial to correct the lower eyelid retraction. I would discuss with your surgeon if in addition to the canthopexy a mucosal graft would help release the lower eyelid and avoid recurrent retraction.