Canthoplasty: Everything You Need to Know
- Eyes Defined
- Aug 20, 2024
- 6 min read
Introduction to Canthoplasty
Canthoplasty is a specialized oculoplastic surgery aimed at reconstructing or altering the outer corner of the eye, where the upper and lower eyelids meet (canthus).
This procedure is commonly sought by individuals looking to change the shape or tightness of their eyelids for cosmetic or functional reasons. It can dramatically influence the appearance of one’s eyes, making them look more expansive, alert, and often more youthful.

Types of Canthoplasty
There are several types of canthoplasty, each serving different purposes:
Lateral Canthoplasty: This is the most common type of enhancement of the eye's horizontal length or change of almond shape. It involves repositioning or tightening the lateral canthus.
Medial Canthoplasty: Focused on the inner corner of the eyes, this type is less common and typically addresses medical issues or abnormalities in the medial canthus.
Reasons for Undergoing Canthoplasty
Individuals may choose canthoplasty for various reasons, including:
Cosmetic Enhancement: To modify the shape and size of the eyes, creating a more aesthetically pleasing facial symmetry and youthful appearance.
Medical Necessity: Correct eyelid deformities, such as eyelid retraction or ectropion, where the eyelid turns outward away from the eye, exposing the eye's surface and leading to discomfort and dryness.
The Procedure
Canthoplasty is typically performed as an outpatient procedure under local anesthesia with sedation. The surgeon makes incisions at the outer corner of the eyelid to access the lateral canthal tendon.
Depending on the desired outcome, the tendon can be shortened, lengthened, or repositioned. Adjusting this tendon alters the tension and shape of the eyelid margin. Once the desired adjustment is achieved, the incisions are closed with sutures, usually removed within a week post-surgery.
Risks and Considerations
As with any surgical procedure, canthoplasty carries potential risks and complications. These may include:
Infection: Although rare, there is a risk of infection at the incision site.
Asymmetry: There is a possibility of uneven appearance between the two eyes.
Scarring: Some degree of scarring may occur, although it is generally minimal and can often be concealed within the natural folds of the eyelid.
Overcorrection/Undercorrection: It is possible that the initial surgery might not achieve the desired effect, necessitating additional procedures.
Postoperative Care and Recovery
Recovery time varies among individuals, but most can return to normal activities within a week or two, although complete healing might take several weeks. Swelling and bruising are common but typically subside within a few weeks.
Following the surgeon’s aftercare instructions is crucial for a smooth recovery and achieving the best results. These might include applying cold compresses, using prescribed eye drops or ointments, and avoiding strenuous activities that could strain the eyes.
Outcome and Longevity of Canthoplasty Results
The outcomes of canthoplasty can be notably gratifying—providing a permanent change to the eye shape and overall facial aesthetics. While the results are generally long-lasting, age-related changes can still occur. Additionally, the procedure's success heavily depends on the surgeon's skill and the initial condition being treated.
Choosing the Right Surgeon
Choosing a qualified and experienced oculoplastic surgeon is critical to the success of canthoplasty. Prospective patients should seek a surgeon specializing in eyelid surgeries with a vast portfolio demonstrating their expertise and results.
It is also essential to discuss all aspects of the procedure during the consultation phase, including expressing your desired outcomes and understanding the realistic results the surgery can offer.
Take the first step towards achieving your desired look by booking a consultation with Dr. Ahmad Aziz at his London clinic today. Your journey to enhanced eyelid aesthetics starts here.
Conclusion
Canthoplasty is a profound surgical procedure offering aesthetic and functional benefits for the eyes. Whether pursued for cosmetic reasons or to correct medical issues, the results can significantly impact one’s look and quality of life. Potential patients should ensure thorough understanding and preparation in collaboration with a dedicated oculoplastic surgeon to achieve the best possible outcomes.
FAQ's
What is Canthoplasty?
Canthoplasty is a cosmetic or reconstructive surgical procedure that reshapes the outer corners of the eyes (the canthus). This surgery is often done to lift and tighten sagging eyelids, which can create a more youthful and alert appearance. It can also improve the function and position of the eyelids if there is drooping or laxity.
Who is a good candidate for Canthoplasty?
Good candidates for canthoplasty are individuals who have drooping or sagging eyelids, especially at the outer corners and want to improve the appearance or function of their eyes. Patients who experience eyelid issues due to aging, trauma, or congenital conditions may benefit from the procedure. Additionally, candidates should be in good overall health, have realistic expectations, and not have any underlying conditions that could affect healing.
What is the recovery time after Canthoplasty?
The recovery time after canthoplasty varies depending on the individual, but typically, patients can expect bruising and swelling to subside within 1 to 2 weeks. Most people can return to work and light activities after about 7 to 10 days. However, complete healing, including scar fading and final results, can take several months. It is important to follow post-operative care instructions to ensure proper healing.
What are the potential risks and complications of Canthoplasty?
As with any surgical procedure, canthoplasty carries some risks and potential complications. These may include infection, excessive bleeding, scarring, asymmetry of the eyes, dry eyes, or difficulty closing the eyes fully. In rare cases, there may be nerve damage or vision changes. Choosing a qualified and experienced surgeon significantly reduces these risks.
How long do the results of Canthoplasty last?
The results of canthoplasty are generally long-lasting, with many patients enjoying the benefits for several years. The longevity of the results depends on factors such as the individual's age, skin quality, and lifestyle habits. While the aging process will continue, the improvements made through the procedure should remain stable for a long time, particularly when patients maintain good skincare and eye health practices.
Is Canthoplasty expensive?
The cost of canthoplasty can vary depending on several factors, including the surgeon's experience, the geographic location of the practice, and the complexity of the procedure. On average, canthoplasty can range from $3,000 to $7,000. This price typically includes the surgeon's fee, anesthesia, facility fees, and follow-up visits. It's important to note that since canthoplasty is often considered a cosmetic procedure, it is usually not covered by insurance.
Is Canthoplasty worth it?
Whether canthoplasty is worth it depends on your personal goals and expectations. Many patients who undergo the procedure report high satisfaction, especially if their primary concern is improving the appearance of sagging or drooping eyelids. The procedure can enhance the overall look of the eyes, creating a more youthful and refreshed appearance. Additionally, it can address functional issues, such as eyelid laxity, that may affect vision. Consulting with a qualified surgeon to discuss your specific needs and expectations can help you determine if canthoplasty is the right choice for you.
How painful is Canthoplasty?
Pain levels after canthoplasty are generally manageable. Most patients report mild to moderate discomfort during the first few days following surgery, which can be effectively managed with prescribed pain medications. The procedure itself is performed under local anesthesia with sedation or general anesthesia, so you won't feel pain during the surgery. Post-operative discomfort typically includes swelling, bruising, and a tight sensation around the eyes, but these symptoms gradually subside as healing progresses. Following your surgeon's post-operative care instructions can help minimize discomfort during the recovery period.
Does Canthoplasty make eyes bigger?
Canthoplasty can create the appearance of larger or more open eyes, but it doesn't increase the size of the eyes themselves. The procedure adjusts the position and shape of the outer corners of the eyes, which can make the eyes look more almond-shaped, elongated, or more alert. This effect can give the impression of bigger eyes, particularly if the patient had drooping or sagging eyelids before surgery.
Does Canthoplasty leave scars?
Like any surgical procedure, canthoplasty does involve incisions, which can result in scars. However, the scars from canthoplasty are usually very small and are typically placed in the natural creases around the eyes, making them less noticeable. With proper care, these scars tend to fade significantly over time. Most patients find that the scars are minimal and not easily visible. It's important to follow your surgeon's aftercare instructions to ensure optimal healing and reduce the appearance of scars.
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