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Is Canthoplasty not possible if patients have a negative vector? (photos)

linasjourneyDec 13, 2021
I've been told I have a negative vector which will not make canthoplasty possible for my congenital lower eyelid retraction. Attaching pictures that show my eyes (the last one indicates the retraction). I was thinking of combining lower bleph with canthoplasty. What should be my alternate plan?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Onur Ogan, MD
Plastic Surgeon
Answered on Dec 23, 2021
Answer
1 person found this helpful

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Ralph M. Rosato, MD

Your eyelids look completely normal. Make-up can give you the appearance you desire without surgery. There is a surgery to raise the outside corner of your eye. But the risks of postoperative problems do no justify the surgery.

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Saman Tahmasbi, MD

Canthoplasty will be done at the corner of the eyes. lateral Canthoplasty has an incision length about 3 to 4 mm, which is virtually not visible with removeable sutures, in 90 percent of the cases it will heal by itself, but in rare cases you could use repair creams to get rid of the faded line...

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Kenneth D. Steinsapir, MD

You have bilateral upper eyelid ptosis and upper eyelid platform asymmetry. Revisional double fold surgery would address that. Regarding lateral canthoplasty, an actual physical examination is needed to determine if that would be beneficial. A detailed assessment will determine precisely how...

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