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Updated: May 28, 2026

A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy

A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy

Published on: January 23, 2026

Lateral canthoplasty using the Mitek anchor system.

Sophie Bartsich¹, Kimberly A Swartz, Henry M Spinelli

¹Division of Plastic Surgery, Department of Surgery, Weill Cornell Medical College, 875 Fifth Avenue, New York, NY 10065, USA.

Aesthetic Plastic Surgery

|October 14, 2011

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The Mitek suture anchor effectively corrects lateral canthal malpositioning in revision surgeries. This safe and reliable method offers excellent patient satisfaction for eyelid reconstruction.

Area of Science:

Oculoplastic surgery
Reconstructive surgery
Facial aesthetics

Background:

Lower eyelid shape and position are crucial for aesthetic and functional outcomes.
Secondary canthoplasty presents challenges due to poor periorbital tissues and lack of stable support.
The Mitek device is explored for secondary lateral canthal procedures to address these issues.

Purpose of the Study:

To evaluate the efficacy of the Mitek suture anchor system in secondary lateral canthoplasty.
To address canthal malpositioning in patients with prior periorbital surgeries.

Main Methods:

A total of 19 revision lateral canthoplasties were performed on 12 patients using the mini Mitek suture anchor system.
Suture anchors were placed in intact bone on the lateral orbital wall for canthal tendon resuspension.

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Patients had a history of prior cosmetic and/or reconstructive surgery in the lateral canthal area.

Main Results:

No postoperative infections or persistent discomfort at anchor sites were reported.
All suture anchors remained in place, and patients reported satisfaction with eyelid shape and function.
Most patients experienced resolution of preoperative symptoms, with a mean follow-up of 24.2 months.

Conclusions:

The Mitek suture anchor is a valuable tool for lateral canthoplasty in cases of significant periorbital scarring or malpositioning.
It is suitable for patients with soft tissue damage from prior surgery, radiation, or trauma.
The technique is quick, requires minimal stable bone for fixation, and has demonstrated safe and effective results.