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A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy

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Published on: January 23, 2026

Minimally invasive lateral canthopexy (MILC).

Mort Rizvi¹, Michael Lypka, Mark Gaon

¹Department of Plastic and Reconstructive Surgery, The Methodist Hospital and Weill Cornell Medical College, Houston, TX, USA.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS

|January 26, 2010

Summary

This study introduces a modified lateral canthopexy technique using percutaneous suture placement. The minimally invasive approach ensures reliable fixation of the lateral canthal tendon with excellent outcomes.

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Area of Science:

Oculoplastic surgery
Ophthalmic surgical techniques

Background:

Lateral canthopexy is a crucial procedure in oculoplastic surgery.
Existing techniques may have limitations in terms of invasiveness or reliability.

Purpose of the Study:

To describe a novel, minimally invasive modification of lateral canthopexy.
To evaluate the efficacy and safety of this new technique.

Main Methods:

A percutaneous suture placement technique was developed.
The suture targets the confluence of the lateral superior and inferior grey lines at the lateral canthal angle.
The technique was applied in 52 canthopexies across 26 patients.

Main Results:

The modified lateral canthopexy demonstrated excellent clinical results.
The technique was associated with a low complication rate.
Absolute assurance of capturing the lateral canthal tendon was achieved.

Conclusions:

This modified lateral canthopexy is a simple and minimally invasive surgical option.
The technique offers reliable fixation of the lateral canthal tendon.
It represents a valuable advancement in oculoplastic surgical procedures.