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Aesthetic Lateral Canthoplasty Using Tarso-Conjunctival Advancement Technique
Eun Jung Lee1, Dae Hyun Lew, Seung Han Song
1*Lee Jung Aesthetic Plastic Surgery Clinic †Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul ‡Department of Plastic and Reconstructive Surgery, Chungnam National University Hospital, Daejeon §Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine ||Department of Medicine, Yonsei University Graduate School of Medicine, Seoul, Korea.
This study introduces a new lateral canthoplasty technique using tarso-conjunctival advancement to lengthen the palpebral fissure in Asian eyelids. The procedure significantly increased eye aperture length and achieved satisfactory aesthetic outcomes.
Area of Science:
- Oculoplastic surgery
- Aesthetic surgery
- Asian blepharoplasty
Background:
- Reduced horizontal palpebral fissure length is a common characteristic of Asian eyelids.
- Aesthetic lateral canthal lengthening aims to refine the eye's appearance.
Purpose of the Study:
- To describe a novel lateral canthoplasty technique utilizing tarso-conjunctival advancement and lid margin splitting.
- To report the postoperative aesthetic and objective outcomes of this procedure.
Main Methods:
- Retrospective review of 45 patients undergoing lateral canthoplasty for aesthetic enhancement.
- Analysis of pre- and postoperative measurements of the palpebral aperture and lateral canthus.
- Evaluation of aesthetic results through clinical photographs.
Main Results:
- Significant increases were observed in both the distance from the mid-pupillary line to the lateral canthus (2.78 ± 0.54 mm) and the horizontal palpebral aperture length (2.93 ± 0.81 mm).
- All patients achieved satisfactory aesthetic results post-surgery.
- The tarso-conjunctival advancement technique effectively enlarged the palpebral aperture.
Conclusions:
- The described tarso-conjunctival advancement technique for lateral canthoplasty provides satisfactory aesthetic results by enlarging the palpebral aperture.
- Further research is needed to assess potential complications such as injury to eyelashes and meibomian glands.

