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Updated: Jun 21, 2026
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A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy
Published on: January 23, 2026
Simple canthopexy used in transconjunctival blepharoplasty
1Oculo-Plastic Surgery Department of the 1st Infirmary of the Santa Casa da Misericórdia do Rio de Janeiro-Ophthalmology Service, Rio de Janeiro, Brazil. s.lessa@alternex.com.br
Ophthalmic Plastic and Reconstructive Surgery
|July 21, 2009
Summary
This study presents a canthopexy technique without canthotomy for lower eyelid laxity. The novel approach avoids lateral canthal tendon release, reducing surgical time and morbidity.
Area of Science:
- Oculoplastics
- Ophthalmic Surgery
Background:
- Moderate lower eyelid laxity and antimongoloid obliquity can affect aesthetic outcomes.
- Traditional canthoplasty techniques may involve extensive dissection and tendon release.
Purpose of the Study:
- To describe a modified canthopexy technique without canthotomy.
- To treat moderate lower eyelid laxity by avoiding lateral canthal tendon release.
Main Methods:
- A canthopexy technique was performed on 316 patients with moderate lower eyelid laxity.
- The lateral canthal ligament was secured to the orbital rim periosteum via the upper blepharoplasty incision.
- This method avoids submuscular tunnel dissection and tendon release.
Main Results:
- Successful correction of lower eyelid laxity in all cases.
- Temporary findings included increased eyelid tension and slight upward lateral canthus slant in the initial 2 weeks.
- Normal eyelid shape and canthal position were restored by the third postoperative week.
Conclusions:
- The described canthopexy technique is effective for moderate lower eyelid laxity.
- This approach significantly reduces operative time and lowers patient morbidity.
- The technique is also suitable for correcting moderate antimongoloid obliquity.
