Can a canthoplasty be reversed?

I had canthoplasty to correct one round eye (lower lid sclerosis) and one elongated eye (droopy lower lid). While eye symmetry is improved, both eyes are much smaller, one worse than the other, with lower lids and  tighter corners. Would a buccal fat transfer to both upper lids, TransBleph of the lower brow, and lowering of higher brow correct this? Do you know any Australian doctors who could fix this?

5 answers to “Can a canthoplasty be reversed?”

A: Canthoplasty can be reversed

William Portuese, MD

Yes, a canthoplasty can be reversed, but the patient runs the risk of having lower lid sclerosis and a droopy lower lid. There are some conservative asymmetrical procedures that can be done to try to correct symmetry on the eyelids.

A: How long has it been?

Manish H. Shah, MD

When was your surgery and for what reason? Had you had previous blepharoplasty surgery that developed complications? Waiting is your best bet as many structures loosen with time.  Canthoplasty is designed to enhance lower lid support and decrease the risk of exposure to your cornea, etc. It typically... more

A: Seek second opinions first prior to revisionary surgery

Otto Joseph Placik, MD

Lowering of the brows and buccal fat transfer may in fact cause your eyelids to appear even smaller. Since your stated concern was that your eyes now look smaller, I would avoid this. Patients generally have their brows elevated to make their eyes appear wider or more open rather than lowering the brow.

A: Try not to lose ground with the "fixes."

Kenneth D. Steinsapir, MD

 Dear Anna Be very careful what fixes you seek out to fix your issues.  In particular, yes buccal fat can be used to graft into the upper eyelids like any fat material.  However, removal of the buccal fat will alter your facial appearance.  When fixing a problem, I think it is very... more

A: Canthoplasty is difficult to reverse

Brooke R. Seckel, MD

The canthopexy was done to improve your lower eyelid support and it sounds like it worked. A canthoplasty always makes the eyes look smaller. If you release the canthoplasty, your eyelids will droop. The buccal fat injection or transfer to your upper lids will make the situation worse. Brow elevation may help,... more

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