Indications
Knowledge for this intervention can be medical and aesthetic.
Medical indications include:
- high eye pressure;
- partial fusion of the eyelids (congenital pathology);
- eversion or inversion of the eyelid;
- the effect of bulging eyes as a result of long-term and untreated myopia;
- short palpebral fissure, which may be a consequence of eye injury.
As for aesthetic indications for canthoplasty, they are as follows:
- facial asymmetry;
- bags under the eyes;
- weakening of muscle fibers and tendons, which leads to drooping corners of the eyes - age-related changes;
- ptosis or sagging eyelids;
- crow's feet;
- the patient’s desire to simulate an almond-shaped eye shape.
Effective oils
The sooner you start fighting wrinkles in the corners of your eyes, the more chances you have for effective facial rejuvenation. Vegetable oil, designed to improve the elasticity and quality of the skin, will help remove the first wrinkles and eliminate other skin defects associated with the aging process. Modern cosmetology suggests using the following types of oily solutions:
- jojoba oil;
- olive oil;
- grape seed oil;
- Castor oil;
- cacao butter;
- linseed oil;
- Coconut oil;
- Peach oil;
- sea buckthorn oil;
- almond oil;
- argan oil;
- wheat germ oil;
- rosehip oil.
Contraindications
Contraindications to canthoplasty are:
- diabetes mellitus of any type;
- chronic pathologies of the eyelids and conjunctivitis in the acute stage;
- blood clotting disorder;
- pronounced myopia;
- sudden jumps in eye pressure;
- thyrotoxicosis;
- dry eyes;
- infectious diseases in the acute stage, as well as the presence of chronic infection in the body;
- exacerbation of any chronic pathologies.
In what cases can epicanthoplasty be performed?
Epicanthoplasty is a cosmetic manipulation; every patient who has no contraindications is allowed to use it. Most patients are of Asian descent, but the surgery is performed for cosmetic defects in one eye.
It is an ideal procedure for male or female patients with the following indications:
- severe drooping of the eyelids caused by skin folds;
- large amount of fat in the upper eyelid area;
- tissue ptosis;
- narrow shape
- congenital anomaly.
Indications for implementation are external reasons. It is performed if the Mongolian fold occurs due to the formation of scars after injury.
Pros and cons of the procedure
In most cases, patients who have had canthoplasty are satisfied with the result and speak positively about the procedure; they emphasize that canthoplasty has allowed:
- make the skin around the eyes more elastic and firm;
- remove asymmetry;
- eliminate bags;
- smooth out wrinkles in the eye area;
- give the look openness and youth;
- raise the outer corners;
- reduce intraocular pressure;
- adjust size and shape.
But, like any other surgical intervention, canthoplasty also has its disadvantages, for example:
- quite high cost;
- the presence of a number of contraindications;
- the likelihood of complications;
- forced lifestyle changes before and after surgery;
- difficulties in choosing a good clinic and qualified specialist.
Rehabilitation period
The recovery process after canthoplasty and canthopexy takes 2-4 weeks. Immediately after the operation, the mobility of the eyelids will be limited, and vision will lose its former clarity. But this condition will last from 3 to 7 days.
The surgeon will tell the patient all the recommendations that must be followed during the rehabilitation period:
- protect eyes from sunlight and other external adverse influences;
- take a walk in the fresh air in the evening;
- avoid bending;
- do not use any cosmetics (decorative, caring or anti-aging);
- stop lifting heavy objects;
- It is forbidden to watch TV, read books and work on a PC;
- refuse to visit the bathhouse, sauna and swimming pool for a while;
- hold off on physical activity, especially running and strength training;
- do not use contact lenses;
- do not touch the area of the eyelids and eyes again;
- sleep in a curtained room;
- control your sleep (sleep on your back with your head slightly elevated);
- apply ice compresses to the eyelids to reduce swelling;
- Facial washing is replaced by wiping with cotton pads.
At first after surgery, the patient may experience pain, swelling, or some skin tension. Gradually, these unpleasant factors will begin to pass.
Complete healing can be expected 2 months after surgery. The scars gradually become smaller and whiter. Canthoplasty and canthopexy retain their results over the next 8-10 years.
Many women are concerned about the presence of scars after such operations. In 99% of cases they remain completely invisible and there is a reasonable explanation for this:
- due to the thinness of the eyelid skin, healing in this area occurs much faster, leaving no scars;
- the incisions are made in the natural folds of the skin and are quite difficult to notice.
Complications after canthopexy and canthoplasty are possible only if the patient does not comply with the doctor’s recommendations. Then there is a possibility of infection in the incision area or the result of the operation being neutralized.
Kinds
Depending on the problem facing the surgeon, he chooses one of two canthoplasty techniques - medial or lateral. If necessary, they can be combined.
The medial technique involves manipulation of the inner corner of the eye, where the tendons are located. When they are tightened, the shape of the eye changes slightly. This method is mainly used during aesthetic surgery.
The lateral technique is used during manipulations at the outer corners of the eye. When they drop, the eye looks tired and the face itself is dissatisfied. Such changes can be noticed after 30–35 years. This operation also allows you to remove wrinkles, crow's feet, and correct skin folds.
The advantage of these techniques is that tendon tightening is carried out without significant damage to the skin, which greatly reduces the recovery period. But if you need to remove significant sagging skin, as well as remove fatty hernias under the eyes, these methods will not work. They must be combined with other types of blepharoplasty.
What can replace canthoplasty?
- Correct application of makeup . This method is the safest, harmless and accessible in order to give expressiveness to the look.
- Blepharoplasty of eyelids. Represents the elimination of fatty formations and excess skin on the eyelids.
- Thread lifting . During this method, special threads are inserted into the dermis through thin punctures;
- Hardware plasma lifting. It involves tightening problem skin using a pad cuff or plasma liner.
It is worth noting that representatives of the Asian age prefer to do Singapore, this is a correction of the upper eyelid, which allows you to form a decorative fold, due to which the appearance acquires European features.
Progress of the operation
Before the operation, a consultation with a doctor is necessary, who determines the patient’s condition, assesses the degree of changes in the skin and tendon stretching, and also prescribes a small examination to identify contraindications - urine and blood tests, ECG, fluorography.
If no contraindications are identified, computer modeling of the expected result is performed. When the date of the operation is set, the patient should not sunbathe, visit the solarium, or engage in extreme sports 2-3 weeks before the operation. A week before surgery, you need to completely stop taking medications that thin the blood, and also reduce the consumption of coffee, alcohol, and try not to smoke.
The operation lasts about an hour and does not require deep anesthesia; local anesthesia is sufficient.
Progress of the operation:
- a centimeter incision is made under the eyelash line;
- the fold of the upper eyelid is dissected closer to the inner or outer corner of the eye (depending on the technique);
- the eye muscles and tendons are tightened;
- if necessary, excess skin and fat are removed;
- the incisions are sutured;
- The stitches are removed after about a week.
How is canthopexy performed?
The method of performing the operation is very individual.
During a face-to-face examination, the doctor discusses the desired result with the patient, conducts an examination and assesses the amount of work. During the operation, an incision of no more than one centimeter horizontally is most often made above the upper eyelid. This incision helps hide the postoperative cosmetic stitch in the natural crease of the eyelid.
By means of this suture, the surgeon has access to the canthal tendon, which the surgeon subsequently attracts to the ocular periosteum. Again, in some cases, excess skin may need to be excised.
The cost of canthoplasty (canthopexy) is determined after an in-person or correspondence consultation. Approximately $500 for upper OR lower eyelids.
After canthoplasty (canthopexy)
After the operation, there is slight swelling of the eyes, and possible accumulation of blood in the form of hematomas. However, the recovery period is very short: usually within a week, patients can return to their previous work. The pain is minimal and can be relieved with painkillers.
The postoperative suture may subsequently disappear almost completely. In any case, it is absolutely invisible in the natural crease of the eyelid.
The result can be observed immediately after the swelling subsides. The effect of canthoplasty can last more than 10 years.
Our clinics are equipped with the latest equipment, which plastic surgeons have mastered to perfection. That is why the recovery period is minimal, and surgical traces are completely invisible. Another undeniable plus is the complete confidentiality of each patient.
It is necessary to understand that in the case of various plastic manipulations, the qualifications of the doctor are very important . Strict quality control is carried out in Belarus, especially with patients from abroad. Take advantage of the services of our company, because we cooperate with the best doctors and clinics in Belarus
Rehabilitation after
Immediately after the anesthesia wears off, the patient can open his eyes, however, vision may be blurred at first.
The most important from the point of view of the development of possible complications are the first 3 days after surgery, so during these days you need to especially carefully monitor the condition of the operated area so as not to miss the onset of the development of pathological processes.
Swelling and soreness of the eyelids persists for about a week, during which time the doctor prescribes painkillers and eye drops.
After the operation, the eyes need a gentle regime for several weeks - you cannot read, work at the computer, visit swimming pools and solariums, use contact lenses and cosmetics, you must avoid sunlight and increased physical activity. It is recommended to sleep on a high pillow and only on your back.
After 10 days, to speed up the healing process, you can begin physical therapy - ultrasound or darsonval.
The recovery period takes 2 months.
Canthopexy: BEFORE and AFTER photos
See all photos
How does a patient recover after canthoplasty and canthopexy?
The rehabilitation period lasts from 14 to 30 days, with the first three days considered the most critical. During these days, the patient may experience pain, dry eyes, severe swelling, hematomas and bruises. The mucous membrane is irritated, and blurred vision may occur.
The surgeon removes the stitches for 6-9 days, and swelling and hematomas go away after 14-20 days. During the recovery period, you must follow the doctor's recommendations: do not engage in active sports, do not bend over, avoid lifting heavy objects. Eye cosmetics can be used after two to three weeks to avoid infection.
What effect can be obtained after lifting the corners of the eyes?
The look becomes more open, clearer, the effect of a dull and depressive facial expression disappears, congenital or acquired asymmetry is eliminated, and excellent visual rejuvenation of the face is achieved!
Specialists at the Butko Plastic clinic perform canthopexy in Moscow. Hurry up to make an appointment to appreciate all the benefits of performing plastic surgery by a surgeon with more than 20 years of experience - Igor Butko. As of 2022, the specialist has performed more than five thousand successful operations, including canthopexy. The clinic successfully develops and implements proprietary techniques that significantly improve the quality and safety of the operation. If you want to fall into the hands of professionals in your field and get the result you dreamed of, sign up for a consultation at Butko Plastic.
The price of canthopexy is around 35,000 rubles.
Possible complications
The following complications are possible after canthoplasty:
- seal in the seam area;
- swelling and hematomas;
- dry eyes, irritation, discomfort.
Serious complications are:
- non-closure of the eyelids - too much skin excision;
- eversion of the eyelid - too much tension in the tendons or muscles;
- suppuration of sutures;
- bleeding - the stitches are not placed tightly enough;
- significant dryness of the eye - damage or blockage of the tear duct.
Canthopexy or eyelid corner lift
From time immemorial they say in Rus': “The eyes are the mirror of the soul.” And it’s not in vain that they say. It is enough to look carefully into the eyes of your interlocutor to understand whether this person is open-minded or on his own, has come with goodness or is harboring anger. And it happens that a person wants to lie, but cannot - his eyes give him away.
And it is our eyes that can treacherously reveal our true age and the burden of all our problems. The fact is that the skin around the eyes is thin and delicate, and the muscles and ligaments are weak, and sometimes even in young people you can notice small wrinkles, which are popularly called “crow’s feet.” As a rule, crow's feet are a sign characteristic of cheerful and open people who smile a lot. But they also don’t want to grow old ahead of time. Moreover, after some time, this “sign of cheerfulness” can lead to the fact that the outer corners of the eyes simply droop and the gaze takes on not a cheerful, but, on the contrary, a tired look, and the gaze becomes “heavy.” And no matter how well you take care of your skin, no matter how expensive creams you use, sometimes you cannot do without surgical intervention.
Let's figure out why the eyes become “sad” and how can this be corrected?
Plastic surgeons say that the tired appearance of the eyes is due to the fact that the outer canthus (corner of the eye) droops.
The tendons that support the outer canthus are long and thin, and over time they can weaken and stretch. As a result, the corners of the eyes droop. And it happens that these tendons have a very weak tone by nature, in which case the baby is already born with “tired” eyes.
To correct the situation, you can resort to plastic surgery called canthopexy, that is, tensioning the outer corner of the eyelid. This same procedure may be called canthoplasty. The difference between them is that during canthoplasty, the tendons of the outer canthus are not tightened, but the excess is partially removed and stitched back together.
Most often, canthopexy is performed during plastic surgery on the eyelids and is, in fact, an integral part of blepharoplasty.
Reviews
I have always taken great care of myself, but whatever one may say, age is taking its toll, and my eyes began to look tired and sad. The reflection in the mirror was not at all pleasing, and I decided to have canthoplasty. This is a low-traumatic operation that allowed me to look young and beautiful again. The operation lasts only an hour, is performed under local anesthesia, and the rehabilitation period is short. I'm very pleased with the result
Valentina
Izhevsk
After 30 years, the outer corners of the eyes began to droop and the face began to look tired and dissatisfied. No creams or masks helped, and there was only one way out - surgery. Having learned about canthoplasty, I decided to opt for it - a simple and low-traumatic operation. The effect after it is amazing
Maria
Saint Petersburg
I advise everyone who is planning canthoplasty to be very careful when choosing a clinic and a doctor. My operation was unsuccessful - my eyelid muscles were too tight, and now my eyelids do not close tightly. I'm waiting for when it will be possible to do a second intervention.
Ilona
Kirov
Canthoplasty is a very effective operation. In my case, she allowed me to change the shape of my eyelids, making my eyes more beautiful, almond-shaped. There were no complications, rehabilitation was easy, I recommend it to anyone who wants to change the shape of their eyes - quickly, uncomplicated and with good results
Svetlana
Sochi
What is canthopexy
Canthopexy literally means lifting the eyelid. But a person has more than one eyelid, and operations can be different: simply lift the outer corner or trim a tendon. Each stroke brings its own peculiarity to the procedure; the slightest deviation requires a special approach. Each operation is different from its identical one. It is performed by a plastic surgeon and ophthalmologist.
The video below discusses canthopexy as an eyelid lift:
Concept and types
Canthopexy is an operation to lift and correct the lower eyelid. It got its name from the designation directly at the corner of the eye, which is called “canthus”. The concept has a narrow focus, since we are talking about the lateral (outer) edge of the lower eyelid. To correct it, I tighten the lateral ligament. The internal ligaments are not subject to severe stretching; operations in this area are performed extremely rarely.
When just a lift is not enough, the canthus is shortened directly (cut off). This operation has a slightly different name - “canthoplasty”. It is used much less frequently, strictly according to the doctor’s indications, with severe stretching, if the aesthetic problem cannot be solved otherwise.
Canthopexy with blepharoplasty
Contraindications
Canthopexy is a fairly serious and responsible operation that has a number of contraindications. When preparing, these contraindications must be strictly taken into account. In what cases is it unacceptable to perform surgery?
- If diabetes mellitus is confirmed,
- There is poor blood clotting,
- There are endocrine disorders,
- Cardiovascular diseases,
- Oncology in any degree,
- There is an exacerbation of a chronic disease,
- The presence of an acute inflammatory disease,
- There are diseases of the eyelids, eyes (including dryness),
- Glaucoma,
- Extremely severe myopia,
- Pregnancy and lactation period.
Indications
In what cases is canthopexy performed? The cause is not always aesthetic distress, although it plays a decisive role. Sometimes the cause is a serious congenital pathology or the result of injury. Indications may be associated with a weakened canthus, which causes a clear aesthetic defect.
A short list of indications for canthopexy:
- The upper eyelid or the skin of the lower eyelids sag,
- The outer corners of the eyes droop (not only age-related changes, but also congenital pathology),
- Weakening of the canthus as a result of trauma,
- Fusion of eyelids
- Correction after inflammatory diseases or burns,
- Restorative correction of facial asymmetry after facial paralysis,
- Preventing and eliminating the effect of bulging eyes due to myopia,
- When ectropion (turning out of the mucous membrane of the eyelid) is diagnosed,
- To lift the sagging lower eyelid (age-related changes), for the purpose of rejuvenation.
- Correction after unsuccessful similar operations,
- If you wish, you can change the shape of your eyes.
How long does the effect last?
The effect after the operation remains for many years - from 5 to 10 years. This result is considered long-term.
The video below will show you how the procedure goes:
Comparison with other methods
Canthopexy is a separate branch of plastic ophthalmic surgery, however, it is directly related to canthoplasty, myopexy and blepharoplasty. What do they have in common? It is permissible to carry out such operations together if there are indications necessary for this.
Sometimes canthopexy alone is not enough, and myopexy (when the orbicularis oculi muscle is moved and fixed in the desired position) or blepharoplasty (removal of excess fat and skin) is added to it. The common goal of such operations is the aesthetics of the eye, changing its shape, but the means used for this are different. By combining these different forms, you can achieve a stunning effect (both aesthetic and physiological).
Canthopexy (before and after photos)
What then is canthopexy?
Canthopexy uses sutures to tighten and stabilize the same tendons and muscles without separating them from the bone, and often involves removing excess sagging skin. As a result of the correction, the lower eyelid stops sagging.
Let's give a small example, canthopexy - photos before and after the procedure:
In the photo: before the procedure
In the photo: after the procedure
So what will we choose?
Indications for surgery
In addition to the desire to become more attractive, there are a number of medical indications:
The effect of “bulging” eyes due to myopia
Chronic inflammatory processes and associated consequences
Drooping of the outer corner of the eye due to weakening of tendons and muscles
Eversion of the lower eyelid (ectropion)
Congenital pathologies of the eyelid (incomplete clefting, partial fusion - ankyloblepharon)
Narrowing of the eye opening - blepharophimosis
Chronic diseases of the conjunctiva
Preoperative preparation
Consultation with an ophthalmologist at the preparatory stage is very important, since we are talking about intervention in the orbital tissue of the eye. After the eye doctor gives permission for surgery, you should undergo a series of examinations, which will be prescribed by a plastic surgeon. Among them:
General analysis of urine and blood
Test for HIV, RV, hepatitis B
Determination of blood group and Rh factor
Allergy tests for anesthesia drugs
Other studies (as indicated)
Examination in the preparatory period is necessary, first of all, to identify contraindications to the procedure. But every patient should know about diseases for which canthoplasty cannot be performed:
Blood diseases (clotting disorders)
Increased intraocular pressure
Dry eye syndrome
Pregnancy and lactation
Canthoplasty: before and after photos
In order to compare the results of the operation, the plastic surgeon must take photographs of the face from different angles, and especially the eye area. There is also a special computer program that allows you to visualize what awaits the patient after canthoplasty is done. Before and after are 2 images that will allow the client to admire their appearance before the procedure.