I had a bleph and have scleral show and rounding of the eye. Doctors have recommended to me canthoplasty and/or hard palate graft. I am confused because on this website when someone has this issue after surgery, a canthoplasty is suggested. However, when someone wants to change eye shape without previous surgery, all the surgeons say a canthoplasty is too fake and surgical in appearance. Are there suggestions that can fix this that have a natural appearance? Or is it best to do nothing. Thanks
September 18, 2013
Answer: Why do canthoplasty
When surgical scarring causes the lower eyelids to pull down and the eye shape to appear more round, we often recommend tightening and repositioning of the outer corners of the eye (lateral canthus) to fix it. The purpose is to return the canthus to its normal position and in turn elevate the lower eyelid. Sometimes additional procedures, such as lower eyelid cartilage or hard palate grafts, or even skin grafts, are necessary. You'd need an exam by an experienced eyelid surgeon to know the best option. When patients with a "normal" lateral canthus ask about a canthoplasty to change the shape of the eye, most surgeons agree that altering the position or shape of the canthus to achieve a new look can be unpredictable and unnatural in appearance. That being said, in the right patient, it is an option.
Helpful 1 person found this helpful
September 18, 2013
Answer: Why do canthoplasty
When surgical scarring causes the lower eyelids to pull down and the eye shape to appear more round, we often recommend tightening and repositioning of the outer corners of the eye (lateral canthus) to fix it. The purpose is to return the canthus to its normal position and in turn elevate the lower eyelid. Sometimes additional procedures, such as lower eyelid cartilage or hard palate grafts, or even skin grafts, are necessary. You'd need an exam by an experienced eyelid surgeon to know the best option. When patients with a "normal" lateral canthus ask about a canthoplasty to change the shape of the eye, most surgeons agree that altering the position or shape of the canthus to achieve a new look can be unpredictable and unnatural in appearance. That being said, in the right patient, it is an option.
Helpful 1 person found this helpful
September 18, 2013
Answer: Canthoplasty
The key to the answer lies in the fact that a normal person does not have scleral show, so tightening it can look unnatura l. In your case, you have scleral show so the lid is looser than it needs to be. Generally speaking I would do a canthoplasty in your situation. Now if the scleral show does not bother you, and you have no dry eye or tearing, then you can wait. If it is early out of surgery, I would wait. Another option could be a mid facelift to give more support on the outside to pull the lid up. Louis Potyondy
Helpful 1 person found this helpful
September 18, 2013
Answer: Canthoplasty
The key to the answer lies in the fact that a normal person does not have scleral show, so tightening it can look unnatura l. In your case, you have scleral show so the lid is looser than it needs to be. Generally speaking I would do a canthoplasty in your situation. Now if the scleral show does not bother you, and you have no dry eye or tearing, then you can wait. If it is early out of surgery, I would wait. Another option could be a mid facelift to give more support on the outside to pull the lid up. Louis Potyondy
Helpful 1 person found this helpful