When appropriately indicated, it can complement blepharoplasty and help maintain the eyelid’s natural contact with the eye. The aim is to support eyelid position and function while taking into account the shape of the eyes and the overall facial expression.
It is considered especially for mild lower-eyelid laxity or when assessment before blepharoplasty reveals a need for additional support. The surgeon evaluates eyelid firmness, eye-corner position and the ocular surface, including dryness. Active eye inflammation requires postponement; significant eye problems or previous operations may require an ophthalmic examination. Disclose all medicines and change them only as recommended by the doctor.
Fine sutures strengthen and anchor the connective-tissue support of the outer eye corner. Canthopexy generally preserves continuity of the lateral canthal tendon. This distinguishes it from canthoplasty, which involves more extensive release and reconstruction and may be needed for greater laxity. Access and anaesthesia depend on the selected technique and combination with blepharoplasty. Canthopexy is not automatically a procedure to create a markedly elongated eye shape.
Swelling, bruising, tightness or eye irritation may occur during the first few days. A gentle routine, eye protection and recommended compresses or eye products help. Do not rub your eyes; resume make-up, contact lenses and sport as instructed. Healing takes weeks, with the final position taking longer to settle. Risks include asymmetry, dryness, changes in eye-corner shape, eyelid malposition, infection or the need for correction. Sudden visual deterioration or severe pain requires urgent examination.
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