I have only seen one doctor so far but he has said i would need canthopexy with my lower bleph. Is this standard and is there a risk it will make my eye smaller / shorter looking? Thank you
Answer: Canthopexy for lower blepharoplasty A canthopexy is used for a lower bleph when the patient is at risk for a droopy lower eyelid after surgery. If done correctly, it is not expected to make your eye smaller or shorter looking but rather helps your eyelid hold its natural almond shape. Sometimes swelling immediately after surgery can give the false appearance of a smaller eye. There are many anatomical and functional considerations when deciding if a canthopexy is needed and therefore it is best to have an in-office examination to review your options and the pros, cons, and risks of each. Hope this helps!Johnson C. Lee, MD Plastic Surgery@drjohnsonlee
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Answer: Canthopexy for lower blepharoplasty A canthopexy is used for a lower bleph when the patient is at risk for a droopy lower eyelid after surgery. If done correctly, it is not expected to make your eye smaller or shorter looking but rather helps your eyelid hold its natural almond shape. Sometimes swelling immediately after surgery can give the false appearance of a smaller eye. There are many anatomical and functional considerations when deciding if a canthopexy is needed and therefore it is best to have an in-office examination to review your options and the pros, cons, and risks of each. Hope this helps!Johnson C. Lee, MD Plastic Surgery@drjohnsonlee
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June 1, 2020
Answer: Canthopexy with lower blepharoplasty Most plastic surgeons will do something to support the lower lid if they believe it is at risk for ectropion (pulling down, resulting in show of the white sclera toward the outer corner of the eye). A few ways to mitigate against this complication include:1. Conservative excision of skin and being very careful with handling of the eyelid muscle and orbital septum, layers that provide support and strength to the lid2. Supporting the lid with a small canthopexy suture - there are many individual preferences on how to do this - in order to support the outer corner tissues against something solid like the bone. If done judiciously, like with a single support suture and not too tight a "sling" on the tissues, it does not usually change the shape of the lid at all.3. Being more aggressive with a canthoplasty, where the corner of the lid may even be divided and some extra tissue taken out, with the lid margin tissues used to support the angle of the lid. This is usually only required when patients either have preexisting laxity or as a correction to ectropion that has already occurred from prior surgery
Helpful 2 people found this helpful
June 1, 2020
Answer: Canthopexy with lower blepharoplasty Most plastic surgeons will do something to support the lower lid if they believe it is at risk for ectropion (pulling down, resulting in show of the white sclera toward the outer corner of the eye). A few ways to mitigate against this complication include:1. Conservative excision of skin and being very careful with handling of the eyelid muscle and orbital septum, layers that provide support and strength to the lid2. Supporting the lid with a small canthopexy suture - there are many individual preferences on how to do this - in order to support the outer corner tissues against something solid like the bone. If done judiciously, like with a single support suture and not too tight a "sling" on the tissues, it does not usually change the shape of the lid at all.3. Being more aggressive with a canthoplasty, where the corner of the lid may even be divided and some extra tissue taken out, with the lid margin tissues used to support the angle of the lid. This is usually only required when patients either have preexisting laxity or as a correction to ectropion that has already occurred from prior surgery
Helpful 2 people found this helpful
