Blog Canthopexy | Boerhaave Clinic

Canthopexy (strengthening the outer corner of the eye)

Author:Boerhaave

What is a canthopexy?

A canthopexy is an operation in which the outer corner of the eye (lateral canthus) is strengthened. The tendon that supports the outer corner of the eye is tightened and reattached to the rim of the eye socket. This gives the lower eyelid more support and achieves a better eyelid position.

A canthopexy may be recommended for:

Laxity of the lower eyelid due to ageing.
Impending or existing ectropion (outward turning of the lower eyelid).
Horizontal laxity of the lower eyelid.
Extra support during a lower eyelid correction to maintain a good eyelid position.
Correction of a slight asymmetry of the outer corner of the eye.
Repair after previous eyelid surgery that has left the lower eyelid with insufficient support.
Your plastic surgeon will assess during the consultation whether a canthopexy makes sense in your situation.

What does a canthopexy operation involve?

Canthopexy is a relatively simple procedure that is usually performed under local anaesthesia In some cases general anaesthesia is chosen.

The lateral corner of the eye is exposed through a small incision in the natural skin crease on the outer side of the eye. The lateral canthus is strengthened and attached with a stitch to the firm membrane covering the bone of the eye socket. The skin is then carefully closed with fine stitches.

The operation takes 30 to 60 minutes on average. When the canthopexy is combined with another procedure, the operation takes longer.

Recovery & result after canthopexy

Recovery

Recovery after a canthopexy is usually quick and you can soon resume your daily activities. During recovery you can expect: swelling around the eye, bruising, a pulling sensation at the outer corner of the eye, and temporary watering or a dry feeling in the eye. These symptoms usually subside within one week. The stitches are usually removed after one week.

To make your recovery as comfortable as possible and reduce swelling, we advise:

Cooling regularly during the first 48 hours.
Sleeping with your head slightly raised.
Avoiding strenuous physical exertion during the first week.
Not rubbing your eyes.

Result

The final result can usually be properly assessed after a few months, once the swelling has completely gone and the tissues have healed. The aim of the procedure is firmer support of the lower eyelid, a natural eyelid position and a reduction of symptoms or an aesthetic improvement. Although a canthopexy gives a long-lasting result, the natural ageing process of the skin and tissues continues.