When will rounding of lateral canthus finally stabilize following quad bleph? (Photo)

Question

1 year ago, I had quad bleph surgery (transcutaneous), and since then, my lateral canthus on both eyes has become progressively more rounded. (Please see attached pictures). Will this rounding finally stabilize soon, or will it just keep getting worse with time? Is there any way to fix it?

Kenneth D. Steinsapir, MD · Answer

This is disinsertion of the lateral canthal angle associated with your blepharoplasty-very common.  Repairing this can be performed.  However, it will be very complicated for you due to the fact that you have a very prominent eye.  A simple lateral canthoplasty or canthopexy will cause the lower eyelid to ride under the curvature of the eye.  This means that unless extraordinary methods are used ( orbital rim implant, hard palate graft) the lower eyelid will be forced under the curvature of the eye if the lateral canthus is shortened.  So yes it can be done but it requires more work that it would seem.

Mehryar (Ray) Taban, MD, FACS · Answer

That is a impossible question to answer since every eye and healing is different but in general, healing or changes after a surgery stop after about a year. But of course, aging continues to make changes.

When will rounding of lateral canthus finally stabilize following quad bleph? (Photo)

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When will rounding of lateral canthus finally stabilize following quad bleph? (Photo)

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