Should a Brow Lift and a Canthopexy Be Performed at the Same Time or is It Better to Do the Canthopexy Under Local Anthesia?

Question

I need to have both surgeries. The brow lift will be performed under general anesthesia but I have been told the canthopexy should be done under local anesthesia so that if the surgeon needs it the patient can be asked to open its eyes during the surgery. Otherwise it's like operating on a corpse and their more of change for error. Is this true?

Stephen Weber MD, FACS · Answer

These procedures can be performed separately or together. There are certain procedures (ptosis repair) that require the patient to consciously open and close their eyes to ensure symmetry and adequate correction. Canthopexy is not one of these procedures and does not require your participation to ensure a good result. I hope this information is helpful.
	Stephen Weber, M.D., F.A.C.S.
	Lone Tree Facial Plastic Surgeon

Mehryar (Ray) Taban, MD, FACS · Answer

Both procedures can be performed under sedation anesthesia where you are comfortable and still able to open/close your eyes depending on how much sedation is given at the time. For your information, some brow lift procedures (and any eyelid surgery) can also be performed under local anesthesia.

Toby Mayer, MD · Answer

Browlift and canthopexy can be done at the same time. I have done these two operations together for 35 years without any problem. See a very experienced surgeon for a second opinion.

Sam Goldberger, MD · Answer

Usually, I perform these procedures at the same time.  Perhaps there is another reason the surgeon prefers to perform these seperately?

Asif Pirani, MD, FRCS(C) · Answer

They can be done at the same time under general anaesthesia unless you need ptosis repair.  You should get a second opinion from a board certified plastic surgeon in your area.

	 

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Should a Brow Lift and a Canthopexy Be Performed at the Same Time or is It Better to Do the Canthopexy Under Local Anthesia?

Answers (8)

Answer: Should a Brow Lift and a Canthopexy Be Performed at the Same Time or is It Better to Do the Canthopexy Under Local Anthesia?

Answer: Should a Brow Lift and a Canthopexy Be Performed at the Same Time or is It Better to Do the Canthopexy Under Local Anthesia?

Answer: Browlift

Answer: Browlift

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Should a Brow Lift and a Canthopexy Be Performed at the Same Time or is It Better to Do the Canthopexy Under Local Anthesia?

Answers (8)

Answer: Should a Brow Lift and a Canthopexy Be Performed at the Same Time or is It Better to Do the Canthopexy Under Local Anthesia?

Answer: Should a Brow Lift and a Canthopexy Be Performed at the Same Time or is It Better to Do the Canthopexy Under Local Anthesia?

Answer: Browlift

Answer: Browlift

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Recommended reading

Everything you need to know about Eyelid Surgery

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