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Lateral Canthoplasty

Lateral Canthoplasty

One of the most different components of human facial attractiveness is the look of the eyelids. Beyond cosmesis, eyelids have a practical purpose and, as such, constitute an inadvertent component of the underlying globe. They shield the planet by acting as curtains.

Furthermore, they contribute to the general health of the ocular surface by distributing the tear film from the lower eyelid tear meniscus to the whole ocular surface, hence contributing to good vision. Any disruption in the eyelids’ normal function and anatomic resting position can harm overall facial cosmesis and potentially induce tissue degradation such as corneal epithelial breakdown, corneal melt, and perforation.

Lateral Canthoplasty is one of the essential oculoplastic surgical procedures for correcting lid defects. Ectropion, entropion, lateral canthal dystopia, horizontal lid laxity, lid border eversion, lid retraction with or without soft tissue deficit, paralytic lagophthalmos, and aesthetic improvement are among the indications.

This surgery is a beneficial adjuvant to lower Blepharoplasty, orbital tumor delivery, and the prevention of some of the entities mentioned above.

What exactly is Lateral Canthoplasty?

Lateral Canthoplasty

More extensive, brighter eyes may significantly improve the face’s overall appearance. This appearance is achievable with the Lateral Canthoplasty cosmetic surgery treatment. The surgeon can generate a more prominent eye shape by lengthening the lateral canthal angle and straightening the elevated outer tail of the eyes using Lateral Canthoplasty.

The canthus, or outside corner of the eye, comprises the lateral canthal tendon. This tendon’s orientation and form dictate how your eye’s lateral (outside) region looks. Your eyes are either:


  • Positive slant: An upward and outward tilt of the outer corner.
  • The outer eye is not inclined at a neutral gradient.
  • Negative slope: The outer corner of the eye is angled downward and inward.


The lateral canthal tendons are cut and rearranged during canthoplasty to alter the appearance of your eyes. It can also be used with upper or lower Blepharoplasty to treat drooping eyelids.

A professional surgeon must undertake the surgery to guarantee that there is no overcorrection and that the patient does not wind up with an angry or obstinate upper face.

This surgery is recommended for you if you:

  • Have horizontally short eyes
  • Want your eyes to have a gentle and soft form
  • Have keen eyes because the eye tail is too high
  • Have eyes that appear melancholy because the eye tail is too low
  • Have eyelids that are too low or too high, resulting in drowsy or sharp-looking eyes.

It can provide the best possible eye shape for each unique patient. It can increase the size of the eyes and restore harmony between them. Furthermore, threads are sewn around the corners of the eyes, making the threads practically unnoticeable. Threads do not cause any discomfort to the eyes and allow you to return to your regular life rapidly.

What is the eye tail correction?

Lateral Canthoplasty

One of the most common canthoplasty procedures is correcting the eye’s tail. The repair of the ocular bottoms decreases the adverse effects of Lateral Canthoplasty.

Obtaining only this may result in the top and lower sections of the eye tails being linked to one other. The correction of the eye tails reduces this side effect. It also increases the horizontal length of the eyes and makes them appear less acute.

If your eyes are too short or undefined horizontally, or you are dissatisfied with the results of double eyelid surgery, undergoing a canthoplasty may not result in an effective outcome. Correction of the eye tail might be beneficial.


Lateral Canthoplasty

One of the essential procedures in lateral Canthoplasty is reconstructive orbital surgery. The surgeon will use this procedure to extract the whole lateral portion of the eye and rebuild it to the desired eye width. This procedure is frequently performed in combination with lateral eye tilt correction. This is performed by removing the eye’s external component and then reattaching it at a proper height relative to the inner eye corner.

The lateral tilt is also an essential factor in lateral Canthoplasty. The lateral canthus is fixed (anchored) to the lateral orbital rim after surgical division (lateral cantholysis); it is necessary for making a natural facial expression and determining the gender of the patient. A high lateral tilt may give an aggressive indication, but a little shallow angle may create a softer and friendlier aspect. A masculine appearance is indicated by the absence of a tilt or a horizontal lateral aspect.

If such an outer corner of the eye is lower in height than the inner corner, the person seems dull and fatigued. All of these conditions are treatable by lateral Canthoplasty. It is also used to improve the proportion of the color and white parts of the eyes.

An aesthetically pleasing eye appearance is demonstrated by a nice balance between the pigmented iris and the whites of the eye. If the inner eye whites are more visible than the outer eye whites, the individual’s eyes may look shuttered and uninviting. A lateral canthoplasty can address this asymmetry.

Lateral Canthoplasty is an excellent operation for select patients with eyes with a lovely crease but lacking an attractive facial look due to an uncomfortable lateral tilt. The treatment has permanent results, usually combined with double eyelid surgery. The surgeon may perform this treatment in 1-2 hours under local anesthetic with oral sedation. Following the treatment, the wounds will be closed with tiny stitches. Because the operation site is near the eyeball, the surgeon will use soft thread sutures to prevent ocular discomfort.


Sutures will be removed about one week following the Lateral Canthoplasty. Most swelling and bruising will go away in about a week, but the remaining node will fade over two to three months.

Benefits of Lateral Canthoplasty

Lateral Canthoplasty

Lateral Canthoplasty surgery has so many advantages that it is one of our patients’ favorite face cosmetic operations, along with upper and lower Blepharoplasty.

  • The following are the benefits and advantages of a canthoplasty:
  • It removes the appearance of tiny, drowsy, narrow, bored, and dull eyes.
  • It widens and draws the eyeballs out.
  • It provides you with a flawless upward slant eye.
  • Adjust the excessive upward tilt in East Asian patients.
  • It makes you appear more alert, vibrant, and self-assured.
  • Assists in the resolution of outer eye difficulties and concerns.

Canthoplasty may be the answer if you’re considering surgery to modify the shape of your eyes.


Is it possible for strange forms to emerge or for eyelashes to turn upside down?

There is no way this could happen. It just increases the horizontal length of the eyes and the tail’s angle.


What is the distinction between a Lateral Canthoplasty and a Blepharoplasty?

Lateral Canthoplasty is surgery to reshape and correct the corner of the eye. It entails surgically manipulating the “lateral canthal tendon.” Blepharoplasty, on the other hand, is eyelid surgery. It raises and tightens the eyelid without changing the tilt or placement of the eye’s outer corner.


Is it possible for the upper and lower eyelids to be connected after the surgery?

The top and lower eyelids are not connected. When people close their eyes, the soft tissues on their eyelids flex, causing the muscles to return to their previous position. This may result in the tail of the eyes receding and seeming shorter in length.


Can Lateral Canthoplasty be reversed?

Yes. Several plastic surgical treatments can be used to reverse Canthoplasty. A reverse procedure is performed when there is asymmetry, or the outcome of the Canthoplasty is poor.


Does Lateral Canthoplasty increase the size of the eyes?

Yes. Lateral Canthoplasty is a procedure that reshapes the corner of the eyes. It can broaden the corner, revealing more of your eyes and making them appear larger and more robust.


Is it necessary to have Lateral Canthoplasty in conjunction with Double Eyelid Surgery?

Lateral Canthoplasty can be performed with or without Double Eyelid surgery. If you want to make your eyes as big as possible, you should have the Double Eyelid surgery, Ptosis Correction, with the Lateral Canthoplasty. On the other hand, it is recommended that you get Double Eyelid surgery and Ptosis Correction simultaneously if you want to make your eyes as huge as feasible.

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