Did I really have a canthopexy or similar according to surgical report?

Question

Malar implants & canthopexy through mouth. See surgery report below. Dissection: subperiostal to fossa canina, corpus zygomaticus, arcus zygomaticus, infra orbital rim, lateral orbital rim. Localization of the infraorbital nerve and lateral canthus. Dissection of the zygomatical ligaements preparing of the midface and lateral orbital pocket. Soft tissue fixation midface with oblique cranial traction PDS loops from-to: 1. Muscus temporal – Muscus zygomaticus major 2. Muscus temporal – Lateral canthus 3. Muscus temporal – Muscus orbicularis oculis

Philip S. Schoenfeld, MD, FACS · Answer

It sounds like you had midface elevation and malar implants.  A canthopexy or canthoplasty would require an incision somewhere around the outer corner of the eye or upper eyelid to place the canthopexy suture.  With that said, release of the canthal tendon from the lateral orbital rim, not recommended, can give you a lateral and upward pull of the corner of the eye.

Kenneth D. Steinsapir, MD · Answer

Putting a suture under a cheek flap to the temporalis muscle is not a canthoplasty. Canthoplasty or canthopexy are specific surgeries performed on the lateral canthal angle. That does not sound like what you had based on the information you have provided. It can't be done through the mouth.

Did I really have a canthopexy or similar according to surgical report?

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