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Upper and Lower Eyelids Article 4

Preserving Eyelid Shape and Tone in Eyelid Surgery

If lower eyelid tone is poor, Dr. Hughes may advise the patient to have a lateral canthopexy or canthoplasty. This procedure involves placing a stitch in the lateral canthal tendon and repositioning it higher and farther back . A lateral canthopexy not only will help to prevent the complications of retraction of the lower eyelid after blepharoplasty but also establishes an aesthetically and functionally youthful eyelid. A properly executed canthopexy restores the tone, posture, and tilt to the lower eyelid. With restoration of the normal intercanthal axis tilt, lid tone, and septal integrity, the appearance of excess skin and herniated fat can be improved.

In the appropriate patient, lateral canthopexy or canthoplasty will preserve the long-term benefits of blepharoplasty, prevent complications, and restore youthful aesthetics.