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A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy

A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy

Published on: January 23, 2026

Lateral canthal surgery.

Kelvin Kam-Lung Chong¹, Robert A Goldberg

¹Division of Orbital and Ophthalmic Plastic Reconstructive Surgery, Jules Stein Eye Institute, David Geffen School of Medicine at UCLA, Los Angeles, California 90095, USA.

Facial Plastic Surgery : FPS

|June 5, 2010

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Reconstructing the lateral canthus is crucial for restoring ocular surface health and youthful appearance after aging or trauma. Various surgical techniques exist, but success rates vary, necessitating careful consideration of options and potential complications.

Area of Science:

Ophthalmology
Plastic Surgery
Facial Anatomy

Background:

The lateral canthus is vital for ocular surface health and periorbital aesthetics.
Dysfunction can lead to chronic irritation, tearing, and keratopathy.
Aging and iatrogenic trauma commonly disrupt lateral canthal structure and function.

Purpose of the Study:

To review the anatomy and physiology of the lateral canthus.
To discuss clinical examples of lateral canthal abnormalities and their causes.
To present a comprehensive review of surgical reconstruction options.

Main Methods:

Anatomical and physiological review of the lateral canthus.
Analysis of clinical presentations of lateral canthal dysfunction.

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Systematic review of surgical techniques for lateral canthal reconstruction.

Main Results:

Lateral canthal integrity is essential for eyelid function and appearance.
Surgical outcomes for reconstruction vary, with no single technique universally superior.
Common approaches involve lower eyelid tightening and canthal repositioning.

Conclusions:

Understanding lateral canthal anatomy is key to successful reconstruction.
A range of surgical options exists for functional and aesthetic restoration.
Careful patient selection and technique choice are vital to minimize postoperative complications.