Preventing Lateral Canthal Malposition in Modern Blepharoplasty.

Area of Science:

• Plastic Surgery
• Ophthalmic Plastic Surgery

Background:

• Lower eyelid blepharoplasty aims to rejuvenate the midface.
• Preventing lower eyelid malposition and ectropion is a critical challenge.

Purpose of the Study:

• To evaluate a six-step lower eyelid blepharoplasty technique.
• To assess the efficacy of superficial lateral retinacular canthopexy in preventing complications.

Main Methods:

• Retrospective review of 104 patients undergoing the six-step blepharoplasty.
• Inclusion of superficial lateral retinacular canthopexy in the surgical technique.

Main Results:

• No significant changes in intercanthal angles were observed postoperatively.
• Lateral canthal position remained stable, indicating prevention of malposition.
• The technique effectively addressed midfacial aging signs with minimal complications.

Conclusions:

• The six-step lower eyelid blepharoplasty with canthopexy is safe and effective.
• Superficial lateral retinacular canthopexy successfully prevents lower eyelid malposition and ectropion.
• This technique offers reliable aesthetic results for lower eyelid rejuvenation.