Does a canthopexy leave an incision scar at the outer corner of eyes?

The is no one post-blepharoplasty situation. A photograph would be very helpful to understand your particular situation. There are patients who benefit from lateral canthoplasty. In some cases it can be done through a very small (less than 5 mm in length incision outside the outer corner) that does not disrupt the actual corner and heals very inconspicuously. However, that may not be appropriate for you. If you have a prior lower eyelid retraction from your first lower eyelid surgery, canthoplasty will seldom be sufficient to address the issues. I would recommend seeking additional opinions even if you have to pay to see some of the more exclusive Beverly Hills based surgeons for their opinions before committing yourself to a particular surgeon and their plan. You don't want to have to do this more than once.

Hello and thank you for your question.  Lower lid laxity and extropion with scleral show will quite often require a canthopexy to tighten and lift the lower lid up to a more youthful position. This incision is placed in the crease where the two lids meet laterally. The length of the incision typically is only a few millimeters in length and is usually undetectable once it heals. This is because it is in a natural skin crease. You stated that you made the appointment in regards to the sagging and looseness of the eyelid skin as well. Once you have healed from the procedure and if your eyelid position is corrected and you still have loose skin, you might be a candidate for a skin tightening laser or chemical peel procedure. Ask to see before and after photos of actual patients that your doctor has performed this procedure on to help you make the decision on who will perform the procedure. 

In order to perform a canthopexy, an incision is made just under the lash line and extends just a tiny amount past the corner of your eye. These incisions are expected to heal without any long-term visible scar. Hope this helps!Johnson C. Lee, MDBoard-Certified Plastic Surgeon

Thank you for your inquiry. I canthopexy is a procedure that helps support the lower eyelid in patients who are prone to getting what is known as ectropion or lid lag. The standard incision for the lower blepharoplasty eyelid tuck would be extended approximately a quarter of an inch in the horizontal direction at the outer corner of the eye lid commissure. That scar extension typically looks like crows feet.
I hope this helps. Good luck. 
Doctor B

If you have significant redundant skin and scleral show the incision suggested may very well be the most appropriate. Choice in a secondary procedure depends on the kind of lower blepharoplasty you originally had, the degree of scleral show, the degree of laxity and symptoms to name a few of the factors involve. If your really hesitant consult one or two more surgeons.

Blepharoplasty scars are fine lines which should go on to heal to faint/unnoticeable in most patients. You would be exchanging the current condition of the eyelids to such scars and only you can analyze the benefit. Best wishes.

We typically limit the incision to within the orbital rim so that the incision line does not extend beyond the supratarsal crease, the natural eyelid crease of the upper eyelid. However, on occasion we may have to extend the incision beyond the orbital rim if redundant skin extends beyond this limit. In these cases the incision line will be apparent.

Thank you for the question and if performed correctly the scars you are concerned about will be barely visible if visible at all.   Your surgeons recommendations are standard for that procedure.   I just operated on a gentleman with a similar problem and he is totally corrected.Dr Corbin

Yes, to repair what you describe, almost always requires an incision under the corner of the eyelid and somewhat laterally. How much of an incision will depend on the exact problem and what is required to correct it. You mentioned a canthopexy, but it is rare that this procedure work for the problem you described. The forces on the eyelid with normal function are quite substantial, and a simple suture will generally not support the lid properly, hence the problem from the first surgery, which was probably completed with the lid in excellent position. Frequently, a canthoplasty, where a portion of the lid lining is removed and the strong underlying tissues are attached to the bone, is required. this usually also needs a small amount of skin resection laterally to get the tissues to lay down properly. Another option is to support the deeper tissues to hold the lid elevated. This also requires a larger incision. However, never fear, these incisions usually heal excellently and essentially disappear in several months. Make sure whoever you choose for the revision is an expert who has done this many times before.