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Related Experiment Videos

"Dynamic Canthopexy" Drill Hole Canthal Repositioning.

Giovanni Botti, Chiara Botti, Leonardo Rossati

    Aesthetic Surgery Journal
    |March 16, 2019
    PubMed
    Summary

    Dynamic canthopexy offers a stable solution for correcting downslanting eyes and achieving cosmetic almond-shaped eyes. This surgical technique reconstructs the canthal suspension for permanent, rewarding outcomes with rare severe complications.

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    Area of Science:

    • Ophthalmology
    • Plastic Surgery
    • Oculoplastics

    Background:

    • Canthopexy modifies eye slant for congenital defects or cosmetic enhancement (almond-shaped eyes).
    • Dynamic canthopexy involves repositioning the lateral canthus to a higher insertion point.
    • This technique addresses both functional and aesthetic concerns related to eye slant.

    Purpose of the Study:

    • To demonstrate the differences and efficacy of dynamic canthoplasty.
    • To evaluate the outcomes of dynamic canthopexy in patients with downslanting palpebral fissures and those seeking cosmetic alteration.
    • To assess the stability and permanence of results achieved with this surgical approach.

    Main Methods:

    • Retrospective review of 30 patients undergoing dynamic canthopexy (January 2005 - March 2015).

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  • Patients included those with congenital downslanting fissures (18) and cosmetic requests for 'Asian' eye shape (12).
  • Surgical technique involved releasing and repositioning the lateral canthus, anchoring to the orbital rim bone with non-absorbable sutures for permanent fixation.

    • Main Results:

    • Dynamic canthopexy proved extremely effective in all treated cases.
    • An initial hypercorrection was necessary to achieve the desired final canthal position.
    • Results were considered permanent around 6 months post-surgery, with rare severe complications reported.

    Conclusions:

    • Dynamic canthopexy provides stable correction for anti-Mongolian slant (downslanting eyes).
    • The technique is effective for cosmetic enhancement, creating permanent slant eyes as desired by patients.
    • Precise execution of dynamic canthopexy yields highly rewarding aesthetic and functional outcomes.