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Anti aging
Beauty and youth is a valuable asset of you

Canthoplasty

Recovering firmness to the under eye.
Most widely used mothod is septal reset – relocation of fat through incision right under lower lash
line. It is great method in theory but actually it has many complications.
Especially, ectropion or lid retraction could occur with this operation.
And it can cause strong impression because it makes pretarsal roll disappear
Complication with lower blepahroplasty
01.Downturned under eye(ectropion)
02.Sagged eye (Lid rectration)
03.Shorten eye length (Horizontal palpebral fissure)
04.Rounded eye corner
05.Laterial eye saggness
06.Disappeared pretarsal roll
07.Strong impression
08.Discomfort (Tired eyes, soreness, watering)
Downturned eye and sclera show caused by damaged orbicularis oculi and orbital septum
Anatomy of lateral canthus
Upper and lower lid meets and makes acute angle this is called
lateral canthus. Eye can maintain this shape with lateral canthus
tendon. It comes from inferior and superior crus and joins
(Common tendon). It is 1mm thick, width is 3mm and length is
5mm. It is extended with aging or after lower blepharoplasy
  • Anatomical diagram of canthotomy

  • Anatomical diagram of canthotomy

Pre operation check-up
  • lower lid distraction test

  • snapback test

01.lower lid distraction test
02.snapback test

Surgical method

After care
01.Tight feeling : It disappears within a month but rarely it last up to a year
02.Surgery site must not have any shock, lateral canthus tendon could be stretched if eyes are shut too tight.
03.Patient need to take anti-biotic pills for 5 days.
04.Stitch will be removed 7-10 days after operation.
Complications
01.Feeling tight : Generally it disappears within a month but sometimes it last more than a year.
02.Scar
03.Infection
04.Chemosis
05.Inadequately located oculi lateralis
06.Asymmetry : There are many patients have asymmetrical eye shape. It helps to check patients before or past photos.

Surgical result

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