Fixing scleral show/rounding of outer corners?

Question

How can this be fixed? Is a canthoplasty/canthopexy enough?

Kenneth D. Steinsapir, MD · Answer

If this were your unoperated appearance, it would be possible to lift the outer corners with canthoplasty. Think of a canthopexy as as a stabilizing procedure. However, you have more going on here. You appear to have had transcutaneous lower blepharoplasty with a skin incision that was continues into a visible area in the lateral orbital rim area. Loss of soft tissue volume in this area contributes to an hour glass deformity. While you do not have a radical shortening across the width of the lower eyelid, the left eyelid in particular is bowed down. During a detailed consultation, the effect of this compromised would be assessed to determine if your reconstruction benefit from a posterior graft. In some of these eyelids, the lower eyelids are actually much more compromised that they first appear. Internal scaring robs these eyelids of their natural elasticity compromising their blink function. I also note that you have lateral eyebrow flare with a large lateral upper eyelid platform exposure from a high upper eyelid crease. It is possible to address all of these changes. Don't work with surgeons who cannot spend time with you to educate you regarding your finding. Don't work with surgeon who want to schedule a surgery for you after a "Skype" or "Zoom" consultation. Your eyes can be your best feature.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Yes, this can be resolved using lateral canthopexy. You would benefit from a consultation with a board certified plastic surgeon. From your pictures, you appear to be in good health and young, so the muscle and skin have good tone. This procedure is simpler than a canthoplasty. A Skype or FaceTime consultation with a board certified plastic surgeon will help you get an accurate recommendation and pricing. 
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Fixing scleral show/rounding of outer corners?

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Fixing scleral show/rounding of outer corners?

Answers (2)

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.