Can a canthopexy be redone? (photo)

Thank you for your pictures. I agree with your surgeons approach. Canthopexy is just a lifting of the canthus.  A canthoplasty will anchor the canthus and and help retain its position more definitively. This is the most appropriate procedure.

I do not think repeating a canthopexy will help your condition and it may make it worse. I would leave everything alone and try to massage the eyelid upward for at least six months. If the lid still appears retracted see a doctor who is experienced in revision eyelid surgery for an opinion. This condition may improve somewhat on its own but it can take a long time. I usually recommend waiting 12 months before considering revision surgery for post-blepharoplasty lower lid retraction.

You have some lid retraction on both sides, worse on the right.  With warm compresses and massage, and possible steroid / 5-FU injections this may improve.  There are many types of canthopexy.  If your lid stays retracted you will need some sort of canthopexy or canthoplasty to get the corner of the lid back up.  You may also need some sort of a graft.  But you need to wait at least 6 months before making these decisions.   

Yes a canthopexy can be redone but I would maximize the improvement to your lid but massaging and stretching first.  Reoperating on a prior site of surgery necessitates working with old scar tissue and scar tissue is not as strong as normal tissue.  Time is on your side so allow the tissue to soften and relax maximally.

Give yourself a full six months to see how much the 'mild' lower lid retraction will resolve. Often significant improvement occurs that makes any revisional surgery unnecessary. Even if necessary, a formal lateral canthoplasty may be more than you need to improve the retraction.

If you don't feel confident in what your surgeon says, consult with another board-certified plastic surgeon/oculoplastic surgeon for a second opinion so you can feel confident that your surgeon is giving you the best advice. (Of course, if you get a different opinion, you could always switch surgeons.)Click on the link below for information on how to choose an excellent surgeon should you seek a second opinion.Good luck.

Maybe BUT over the internet without the opportunity of eye/orbital IN PERSON examination impossible to answer. Seek second opinions in person...