Canthoplasty

Canthoplasty is an operation aimed to change the eye shape by correcting eye corners. During the manipulation, the lower eyelid region is lifted making the eyes more open and lively. At the patient’s request, the eye shape can also be changed, for example, from round to almond-shaped.

Canthoplasty does not only have an esthetic effect. It is often prescribed for medical reasons, as it prevents the “bulging” effect in shortsightedness and reduces the eyelid pressure on the eyeball in conjunctivitis.

Manipulation description

This plastic surgery suggests the incision of the canthal ligament, which holds the eye corner and shapes the eye, and its subsequent replacement to a new position.

Depending on the incision type, there are different correction types:

• lateral — through a small cut (around 10 mm) in the lower eyelid fold, upper and lower or only lower canthal ligament is excised;
• with cartilage modelling — shortening of the lower lid and modelling of a new cartilage shape;
• with cutting out of the muscular tissue — excision of a small flap from the circular eye muscle and its fixation to the temporal fascia aponeurosis. Eye shape corrections are often accompanied by blepharoplasty.

Indications to the manipulation

The plastic surgery is indicated in the following cases:

• incomplete eyelid cleft for genetic reasons or following an injury;
• shortened eye fissure;
• narrow eye shape;
• moderate myopia;
• lowered corners;
• trachomatous entropion in infectious diseases.

Contraindications

The correction is not performed in the following cases:

• pathological dryness of the mucous membrane;
• pronounce shortsightedness;
• high ocular pressure;
• inflammatory processes in the conjunctiva region;
• acute infectious diseases;
• oncology;
• diabetes mellitus;
• blood coagulability disorders.

Manipulation procedure

The technique is selected individually during examination based on indications and the patient’s preferences. The operation is performed under local anesthesia.

The surgeon first fills the tissues of the lower eyelid with a special solution with adrenaline for vessel contraction. Then cuts are made along marked lines, and a tissue flap is exfoliated towards the outer and lower orbital edge. The skin is then relocated, contours are modelled and edged are sutured.

Manipulation duration

The plastic surgery lasts on average for 2 hours.

Results

The patient stays at the inpatient department for the first days. Usually there is dryness, irritation of the mucous membrane, mild swelling, and hematomas that completely disappear after 7–10 days. For two weeks, it is recommended to limit watching TV and working at the computer and to avoid direct sunlight.

Around 1–1.5 months after the operation, the first Canthoplasty results will be visible. Over this time, the scar will get whiter and will be almost invisible, and the eyes will have an attractive shape. The effect will retain on average for 5–10 years.

If you decide to make eye shape correction, we offer you the services of our clinic. Call us at the phone provided on the website and discuss all the details of the plastic surgery right now.

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