Canthoplasty done twice with poor results. Is there an alternative surgery?

Question

Hey.i had lateral canthoplasty done to my left lower eyelid last year in june.i had the surgery done because there was more white showing in my left eye i had a saggy lower eye lid. Butt there outer corner of my eye didnt stich theres a gap.my surgeon adviced me to do it once more, i had it done again 6 months ago and the same thing happend.what can i do? Would the stiches keep opening? Is there any other surgery that can help me

Lawrence Kass, MD · Answer

The details here are a little obscure to me.  One reason is that one surgeon's canthoplasty technique may vary from another's.  Certainly, an oculofacial plastic surgeon should be able to give you the results that you are seeking and there are a number of excellently trained oculofacial physicians in your country.

Kenneth D. Steinsapir, MD · Answer

Canthoplasty is not a magical procedure.  It sounds like your surgeon may not know what they are doing.  An experienced oculoplastic surgeons should have no trouble getting the lateral canthal angle set posteriorly enough to sit against the eye so there should be no gap.   It is very reasonable to seek other opinions.  Photographs of your actual eyelid would be very helpful to address your questions.  Consider reposting with photos to elicit better and more meaningful answers.

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