Will Canthopexy Help Eyes Made Too Small After Lower Eye Lift?

Question

Had lower eye lift then 6 weeks later fractional co2 laser. Now 1 year out of surgery the outer corners of my eyes are too tight and lower lids pulling down, making eyes small and rounded. Ps has suggested a canthopexy, I am very worried as this will make my eyes smaller. Would very much appreciate your views.

Brent Moelleken, MD · Answer

Correcting postoperative unfavorable eye shape is a complex problem.  The old paradigm of just doing a canthopexy for an unfavorable postoperative lower eyelid shape is antiquated.  A canthopexy alone can yield a still centrally rounded eye with a severe upturn on the sides where the canthopexy is strongest.

	More often than not, a cheeklift may be required to elevate the cheekpad and "give" tissue to the lower eyelid, thus enabling an eye shape correction to a more almond shape.  This is often combined with one of the many forms of canthopexy or canthoplasty.  This can often improve or correct the rounded eye appearance or the pulling down in the corner of the eye.

	Many plastic surgeons specialize in the midface and cheek surgery, and have been very innovative in the literature.  Your next move is a very critical one, so spend time researching carefully.

	Several articles and book chapters we have written are referenced below.

Kenneth D. Steinsapir, MD · Answer

"If you are a hammer then the world looks like a nail."  Unfortunately the canthopexy may be the only canthal/lower eyelid repair surgery your surgeon is familiar with.  However, a canthopexy only "supports" a lower eyelid.  When the lid has been compromised by surgery and laser resurfacing, it is often necessary to resort to more powerful corrective measures.  

	I would recommend to look to identify eye plastic surgeons who devote a significant part of their practice to repairing unsatisfactory eyelid surgery.  This will take some research on your part.  Honestly there are a limited number of individuals who do this type of work and it is generally worthwhile to traveling to the right surgeon.  Photo of you situation might make it possible to be more concrete regarding what you need.

William Portuese, MD · Answer

It is best to seek out a consultation from an oculoplastic surgeon regarding a canthopexy. If done properly, it should not make your small eyes any smaller. The idea is to pull the lower lids upwards and outwards so as to not have a saggy lower lid.

Robin T.W. Yuan, MD · Answer

In  that the canthopexy is designed to tighten the sagging lower lid, it will probably shorten the vertical height of the orbital aperture making it appear smaller although it might also elongate the horizontal aperture making the eye look wider..

Jack A. Friedland, MD (retired) · Answer

Canthopexy is used to support the lower eyelid and it is one way to treat horizontal laxity.  I doubt that it would provide benefit in your case, but not enough information is provided to make that determination.  A repeat visit with your operating surgeon is necessary and you should ask why this happened, what the various alternatives are that will improve your condition, etc.  If you are confused or disagree then you should see another surgeon for a second opinion.  Do not make a decision based on advice given over the internet.  You must be personally examined.

Will Canthopexy Help Eyes Made Too Small After Lower Eye Lift?

Answers (6)

Answer: Canthopexy

Answer: Canthopexy

Answer: Canthopexy helps to support the lower eyelid

Answer: Canthopexy helps to support the lower eyelid

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Everything you need to know about Eyelid Surgery

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Will Canthopexy Help Eyes Made Too Small After Lower Eye Lift?

Answers (6)

Answer: Canthopexy

Answer: Canthopexy

Answer: Canthopexy helps to support the lower eyelid

Answer: Canthopexy helps to support the lower eyelid

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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.