In my first two blogs on canthoplasty surgery I discussed canthal anatomy https://drmassry.com/blog/?p=190 and why canthoplasty surgery is important https://drmassry.com/blog/?p=194 Please refer to these links for review. Today I will describe with surgical photos and accompanying illustrations the traditional canthoplasty surgery or “lateral tarsal strip procedure.” In the series below the top photos show the opening…
Fat Repositioning In Lower Eyelid Blepharoplasty
Lower eyelid blepharoplasty has traditionally consisted of the excision of excess skin/muscle and fat from the lower eyelids. What was identified over time is that tissue removal – especially fat – eventually led to a gaunt or hollowed appearance which actually accelerated the aging process rather than re-creating youth. Over the last decade a paradigm…
Revisional Blepharoplasty – Lower Eyelid Retraction
A common problem after lower blepharoplasty is for the lower lids to pull down or become retracted. Correcting this problem is a specialized form of blepharoplasty surgery called “Revisional Blepharoplasty.” Revisional blepharoplasty involves all procedures needed to redo initial blepharoplasty surgery which did not turn out well or led to ocular complications or poor appearance. …
Canthoplasty Surgery – Part 2 – Why is a Canthoplasty Important
Last week I wrote about the anatomy of the lateral canthus (the point or angle where the lower lids meet laterally). Today let me discuss the importance of tightening the lower lid (canthoplasty or canthopexy) during blepharoplasty (ie. why we do it). Traditionally lower blepharoplasty was fraught with the complication of what we call an…
Canthoplasty Surgery – Part 1
A canthoplasty is a surgical procedure whereby the terminal portion of the lower lid is secured to the bone of the outer orbit. In essence THE LID IS TIGHTENED.In reconstructive surgery the tarsus (the cartilage skeleton of the eyelids) is typically trimmed and sutured to the periosteum (tissue lining the bone). In cosmetic surgery less…
