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Aesthetic lateral canthoplasty.

Mehryar Taban1, Tanuj Nakra, Catherine Hwang

  • 1Department of Orbital and Plastic Reconstructive Surgery, Jules Stein Eye Institute, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.

Ophthalmic Plastic and Reconstructive Surgery
|May 22, 2010
PubMed
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A minimally invasive lateral canthoplasty using an upper eyelid crease incision effectively corrects lower eyelid malposition and achieves aesthetic results. This technique offers a safe and reliable approach for both reconstructive and cosmetic cases.

Area of Science:

  • Ophthalmology
  • Plastic Surgery
  • Oculoplastics

Background:

  • A minimally invasive surgical technique for aesthetic lateral canthoplasty was developed.
  • This approach utilizes an upper eyelid crease incision for improved cosmetic outcomes.

Purpose of the Study:

  • To report the technique and experience with minimally invasive lateral canthoplasty.
  • To evaluate functional and cosmetic outcomes of this approach.

Main Methods:

  • Retrospective analysis of 600 patients (1,050 eyelids) undergoing lateral canthoplasty between 2005-2008.
  • Minimally invasive, upper eyelid crease incision approach used by a single surgeon.
  • Preoperative and postoperative photographs analyzed for functional and cosmetic grading.

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Main Results:

  • Successful lateral canthoplasty in 1,050 eyelids for lower eyelid malposition and/or lateral canthal dystopia.
  • 806 reconstructive and 244 cosmetic procedures performed; rare and minor complications (e.g., transient chemosis).
  • 18 patients required reoperation within 2 years for recurrent deformities.

Conclusions:

  • Minimally invasive lateral canthoplasty via upper eyelid crease incision is effective.
  • The technique successfully addresses lower eyelid laxity and/or dystopia.
  • Achieves an aesthetic lateral canthus with a favorable safety profile.