endoscopic canthoplasty

Endoscopic Canthoplasty

Repositioning of the lateral canthal tendon through a minimally invasive endoscopic approach to reshape the eye.

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Duration

1-1.5 hours

Anesthesia

General anesthesia

Result

Long-lasting result, 8-10 years

Overview

Endoscopic canthoplasty is a modern technique that repositions the lateral canthal tendon with minimal scarring through a temporal endoscopic approach. The procedure is indicated for correcting downward-tilted lateral canthus, scleral show or creating a more almond-shaped, lifted eye form.

Unlike classic canthoplasty, the endoscopic approach allows precise identification of the lateral canthal tendon and fixation in a higher position with maximum protection of adjacent structures. Dr. Mubariz Mammadli uses this technique both as a standalone procedure and combined with blepharoplasty or midface lift.

Who it is for

Patients with a downward lateral canthus or round eyes
People with postoperative or congenital scleral show
Patients wanting an almond-shaped, exotic eye form
People with lower lid retraction
Patients combining with blepharoplasty or midface lift

Procedure overview

Preoperative marking of the desired lateral canthal position
General anesthesia
Small temporal incision to introduce the endoscope
Identification and release of the lateral canthal tendon
Fixation of the tendon in a superior position and incision closure

Recovery and aftercare

Cold compresses for the first 48 hours
Temporal swelling and bruising for 7-10 days
Artificial tears for comfort 2-3 weeks
Avoid rubbing the eyes for 4 weeks
Final shape visible at 4-6 weeks

Frequently asked questions

How does it differ from canthopexy?

Canthopexy is a suspension technique without releasing the tendon. Canthoplasty actually repositions the canthal tendon, providing a more significant and durable change in eye shape.

Why the endoscopic approach?

The endoscopic approach allows precise access to the canthal tendon through a single small temporal incision hidden in the scalp, with no visible scars on the eyelid.