Related Experiment Video
Updated: Jun 18, 2026
A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy
Published on: January 23, 2026
Suspension suture canthopexy: a minimally invasive procedure for correcting mild to moderate ectropion
Hayes B Gladstone1, Ronald L Moy
1Department of Dermatology, Division of Dermatologic Surgery, Stanford University School of Medicine, Stanford, CA 94063, USA. hbglad@stanford.edu
Background:
Ectropion of the lower eyelid can occur after blepharoplasty as well as reconstructive procedures. Even mild ectropion can cause irritation or epiphora. Patients with preexisting lid laxity are at higher risk for post procedure ectropion.
Aims:
To describe a method for canthopexy and discuss its indications, benefits and limitations.
Methods:
We describe a technique that has been used on dozens of patients by both the authors.
Results:
This suspension suture canthopexy corrects mild to moderate ectropion.
Discussion:
Suspension suture canthopexy is effective in patients with the appropriate indications. It can be performed under local anesthesia with minimal complications. Unlike other forms of lid tightening, it does not change the shape of the eye.
Conclusion:
Suspension suture canthopexy which is an ancillary procedure for eyelid rejuvenation is valuable procedure to master by the dermatologic surgeon.
