canthopexy
Canthopexy
Suspension of the lateral canthal tendon to rejuvenate the gaze and prevent lower lid retraction.
Duration
30-60 minutes
Anesthesia
Local anesthesia with sedation
Result
Lasting result, 5-8 years
Overview
Canthopexy is a suspension technique of the lateral canthal tendon without releasing it, indicated for patients with a slight droop of the outer eye corner or to prevent lower lid retraction after blepharoplasty. The procedure subtly tightens the lower lid and gives the gaze a rested, fresh appearance.
Dr. Mubariz Mammadli frequently combines canthopexy with lower blepharoplasty to support the lid and prevent complications such as scleral show or ectropion. Incisions are minimal, hidden in the outer corner of the eye, and the result is natural and discreet β without an overly tilted look.
Who it is for
- Patients with mild drooping of the lateral canthus
- People undergoing lower blepharoplasty
- Patients with lax lower lid or slow snap-back test
- People wanting a subtle lift of the gaze
- Patients with a history of mild ectropion or scleral show
Procedure overview
- Preoperative marking and lid functional test
- Local anesthesia with sedation or general anesthesia
- Small incision in the outer corner of the eye
- Lateral canthal tendon plication with non-absorbable suture to periosteum
- Fine intradermic suture closure
Recovery and aftercare
- Cold compresses for 48 hours
- Outer corner swelling for 5-7 days
- Suture removal at 5-7 days
- Avoid rubbing the eyes and physical effort for 2 weeks
- Artificial tears for 2-3 weeks for comfort
Frequently asked questions
Canthopexy or canthoplasty β what's the difference?
Canthopexy plicates the tendon without releasing it, a more conservative option. Canthoplasty releases and repositions it, giving a more significant change in eye shape.
Why pair canthopexy with lower blepharoplasty?
To support the lower lid after skin and fat removal, preventing ectropion or scleral show β complications of isolated lower blepharoplasty.
How long is recovery?
Social activity resumes in 7-10 days. Residual swelling fades in 3 weeks, with the final result at 6 weeks.
Will it significantly change my eye shape?
No. Canthopexy provides a subtle, natural lift. For a more significant shape change, canthoplasty or a Bella Eyes procedure is more appropriate.
How long does it last?
The effect is lasting, generally 5-8 years. In younger patients or those with firm skin, durability may be longer.
Relevant results
Facial harmony
Combined before and after image for discreet facial harmonization.
Balanced profile
Combined before and after image for profile refinement.
Natural contour
Combined before and after image for more balanced proportions.
Individual results may vary. Images are shared with patient consent.
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