Recently, many plastic surgeon perform canthoplasty without cosideraton, but often it make eye appearance unnatural.
Canthoplasty is eye extending operation but severe scar accompanies with it. It can cause saggy lateral canthus tendon.
Aone does not suggest canthoplasty due to complication mentioned above
Lateral eye corner is acute, this part is called lateral canthus
Canthoplasty moves position of lateral canthous tendon
It is impossible to reposition lateral canthous tendon
without cutting it Even though that is possible,
there is concern relates with tissue around lateral canthous tendon.
Therefore, canthoplasty which is repositioning
lateral canthous tendon sholdn’t be performed
This operation creates abnormality in normal tissue.
lateral angle of eye
A ligament of the lateral angle of eye Amputation
Problem with tissue around lateral canthous tendon
Poorly performed canthoplasty
Complication of canthoplasty
01.Lateral canthous becomes ‘U’ shape.
02.Eye expression ruined with redness on lateral canthous
03.Tear tends to follow along the lateral canthous as it become saggy
04.Eyes become easily tired and
sore due to more sclera exposure
When to have reconstructive canthoplasty
It is best to have reconstructive surgery as fast as you can.
01.There is very low change of improvement on operation area
02.Patients stress gets bigger as it heals
It is harder to correct the matter since lateral canthous
03.tendon fixed firmly on repositioned area with time.
Reconstructive canthoplasty is repositioning of lateral canthous tendon to original position
This operation is one method of canthoplasty, it is simple operation for experienced surgeon. If not, it could cause more damage on normal tissue
01.Prevent dryness by putting ointment on skin
03.Do not shut eyes too tight, it could make lateral canthous tendon streteched.
04.Medication – take antibiotic pills for 5 days.
05.Removing thread after 7~ 10 days after operation
01.Feeling tight : It usually disappears within a month but it rarely last more than a year
05.Mispositioned lateral canthous tendon
06.Asymmmetry : There are many patient has asymmetrical shape of position lateral canthous. It helps to see patient’s preoperational photos for reference