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Can Uneven Eyes Caused by Canthopexy Be Corrected?

Can reconstructive surgery fix uneveness and upward slanted eyes?

My girlfriend had blepharoplasty and canthopexy performed 4 weeks ago. Unfortunately, she should have had canthopexy on only one eye. The PS recommended canthopexy for one eye, but my girlfriend requested both eyes the day of the surgery.

The incision on her eyes extends from her eyelid to 1/4 inch past the closing of her eyes where skin was pulled up to slant her eyes. Her eyes are now small, uneven and slanted.

Is it possible to reverse this procedure through reconstructive surgery such as a canthopexy release and skin grafting?

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5 Doctor Answers | Asked by Overcorrected Canthopexy Concern in Austin, TX

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Community Comments (0)

Uneven eyelid surgery to correct by canthopexy

Yes, and no. Eyelid conditions may be treated with reconstructive plastic surgery, but surgery cannot be reversed to put the eyelids exactly where they were prior to cosmetic surgery. You have complicated eyelid issues based on the information presented, and only after a comprehensive examination can one be able to determine (1) all the issues, and (2) potential treatment options. That being said, you are still relatively early after your lower eyelid surgery. The slight slightness of the... more

Correction of asymmetry from canthopexy

Dear Overcorrected, Personally, I do NOT think the canthopexies are the major reason for your friend's appearance. Canthopexies are usually put in to support contact of the lower lid with the eye balls when some inflammatory drag by the lower lids is anticipated. But if GREATER support is needed, canthoplasties may be called for. In looking at her from the top down, she has: 1. Very asymmetrical brows with arch collapse, Right worse than left. Appears to be a "bad Botox" result... more

Peter A. Aldea, MD

35 reviews

Memphis Plastic Surgeon

Revision canthoplasty and/or canthopexy

It is possible to reverse the canthopexy procedure through a revision canthoplasty and/or canthopexy. They can be taken down or removed. The eyelids can be made more symmetrical. It is important to wait at least six months prior to undergoing any revision surgery of this nature.

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Uneven eyes from canthopexy will need surgical fixing

Dear Overcorrected I apologize to your friend on behalf of the surgeon who did this. I don't know that surgeon. However, I can assure you that if he/she had any idea that this would be the results eyelid surgery would never had been recommended. Canthopexy is not the answer. Canthopexy is a simple procedure that uses a stitch to tighten the lateral canthal angle. It is generally performed by eyelid surgeons who are not trained to perform an actual lateral cathoplasty. The canthoplasty... more

Kenneth D. Steinsapir, MD

9 reviews

Los Angeles Oculoplastic Surgeon

Post-blepharoplasty surgery

It is best to wait at least 6 months for things to settle and heal completely. The eyelid position may change up to 6 months or longer. If they are still problematic (either functionally or cosmetically) after this period, then they can be evaluated for possible surgery.

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