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Cosmetic Lateral Canthoplasty

What is a Lateral Canthoplasty?

The lateral canthus of the eye is the outside corner where the upper eyelid and the lower eyelid meet. The angle of the lower eyelid at this point is part of what determines how much of your eye is seen. Having a lower eyelid that sits high can make the eye appear smaller. Lowering the angle can make the eye appear larger and brighter. A lateral canthoplasty is a surgical procedure where the eyelid position is changed to achieve a more aesthetically pleasing shape to the eye.

Who is a good candidate for a Lateral Canthoplasty?

A good candidate is someone who is unhappy with the appearance of their eye or eyelids. The most common concern we hear from our patients include having the eye look too small. A good candidate is otherwise healthy and does not smoke.

What type of surgeon should perform my Lateral Canthoplasty?

This is a subtle and delicate surgery. Look for an Oculofacial Plastic Surgeon who is trained in an official fellowship by the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). This means your surgeon went through four years of training as an ophthalmic surgeon and did an additional two years of intensive training in Oculofacial Plastic Surgeon. When it comes to your eyelids, you deserve to have someone trained in eye surgery and eyelid surgery.

How is a Lateral Canthoplasty performed?

You have the option to have your surgery at our in-office procedure room or an outpatient surgery center. The surgery is the same, regardless of the location. At our in-office procedure suite, most patients take a valium 30-45 minutes prior to the surgery and then use Pro-Nox nitrous oxide (laughing gas) as needed during the surgery. In the outpatient surgery center, you can have intravenous (twilight) sedation or general anesthesia to improve your comfort. During the pre-op visits, you and the surgeon will decide which will be the best option for you.
Once you are on the operating table, local anesthesia will be injected into the eyelids. After the injections are done, most patients have no additional pain during the procedure. The surgery will then be performed adjusting the lower lid position. The incisions will be closed with sutures.
You will need to arrange for someone to drive you to and from surgery.

What is recovery from lateral Canthoplasty like?

After the surgery is complete, an ointment is placed over the incisions and the eyes. The ointment will blur your vision but will help keep your eyes lubricated.

Your surgeon will give you specific post-operative care instructions. Be sure to follow them closely. Follow up appointments are usually scheduled within 1-2 weeks to monitor your healing.

Medications may be prescribed to prevent infection and to help with pain and inflammation.
Rest is important to healing and preventing complications. For the first week, plan on only doing light activity with no lifting or bending. During the second week, you can implement moderate activity with no heavy lifting. After two weeks there are usually no restrictions on activity.
Pain typically subsides within the first week, but soreness and swelling may be present for a few weeks.

You can reduce bruising by avoiding blood thinners including aspirin, Ibuprofen, fish oil, and alcohol. Taking Arnica may reduce your bruising. Using Skinuva can reduce your scar appearance.

What risks come with Lateral Canthoplasty surgery

  • Brusing
  • Swelling
  • Pain

Risks are present with any procedure or medical treatment. Knowing the risks may help you weigh the pros and cons so you can make the right decision for you. A lateral canthoplasty is a low-risk surgery, but no surgery is without risk. Most patients only experience mild bruising, swelling, and pain. Serious complications are very rare. Please have a thorough discussion with your surgeon about the risks and contact us for any questions.