Lateral epicanthoplasty

The appearance of the eyelids is one of the primary factors of human facial beauty. Going past the cosmesis, eyelids have a functional role and, as such, indirectly become an integral part of the underlying globe. They act like curtains to the globe, protecting it. In addition, they play a significant role in the overall health of the ocular surface and are responsible for spreading the tear film from the lower eyelid tear meniscus to the entire ocular surface, hence contributing to optimal vision. Any compromise to the normal function and anatomic resting position of the eyelids can have a deleterious effect on overall facial cosmesis and potentially cause tissue degradation, including corneal epithelial breakdown, corneal melt and perforation.

Lateral canthoplasty may be considered as one of the most valuable oculoplastic surgical procedures to correct lid abnormalities. The indications include ectropion, entropion, lateral canthal dystopia, horizontal lid laxity, lid margin eversion, lid retraction with or without soft tissue deficiency, paralytic lagophthalmos and aesthetic improvement. This procedure is a valuable adjunct to lower blepharoplasty, in the delivery of orbital tumors and in the prevention of some of the above-mentioned entities.Also, lateral canthoplasty is not for everyone in the sense that there are some specific types of eye shapes that are eligible for it. plastic surgeons will choose the most ideal lateral canthoplasty methods according to your eye shape and plastic surgeons in Iran are maybe the most experienced in this surgery as they have tried hard to master it.

Best Candidates for Lateral Canthoplasty?

If you just desire to have bigger eyes, for the most part, epicanthoplasty will be enough for you. lateral canthoplasty can be operated successfully when the tail of your eyes (outer corner) is pointing upward. This type of eyes tend to create kind of an angry look, which might leave a negative impression on others against your will. For this specific cases, lateral canthoplasty is often suggested.

Procedure of Lateral Canthoplasty

The procedure will make incisions at the outer corner of the eyelids and skillfully reposition the tails of the outer eyelids. Since symmetry is a must in every case, usually, upper or lower eyelid surgery is operated before lateral canthoplasty.

SURGERY RELATED ANATOMY

Lateral canthal tendon

The lateral canthal tendon (LCT) has a superficial component and a deep component. The superficial component is a continuous extension from the orbicularis oculis muscle that is inserted into the lateral orbital rim through the thickening of the overlay whereas the deep component of the LCT diverges from the lateral end of the tarsus and adjoins Whitnall’s tubercle of the lateral orbital rim. However, there is controversy surrounding the naming and the anatomical relationship of the surrounding tissue.. The deep portion mainly serves to provide lateral canthal support; therefore, the detachment and division of the deep portion is not recommended for ordinary cosmetic lateral canthoplasty. Instead, the superficial component should be sufficiently detached to allow the movement of the lateral canthus without tension.

What is the correction of the eye tail?

The correction of the tail of the eyes is one of the most popular canthoplasty surgeries. The correction of the eye tails reduces the side effects of Lateral Canthoplasty.

Getting only Lateral Canthoplasty might cause the upper and lower parts of the eye tails are attached to each other. The correction of the eye tails minimizes this side effect. It also has an effect of widening the horizontal length of the eyes and creates less sharp looking eyes.

If your eyes are too horizontally short or undefined, or you are unsatisfied with the result of the double eyelid surgery, or getting a canthoplasty may not cause an effective result. The correction of the eye tail may be effective to solve these problems.

What is lateral Canthoplasty?

Surgical methods that make the eye larger and brighter include double eyelidplasty, epicanthoplasty, as well as lateral canthoplasty. … Epicanthoplasty, a surgical procedure which enlarges the eye horizontally, is performed at the inner corner of the eye, whereas lateral canthoplasty enlarges the outer edge of the eye

What is Canthoplasty surgery?

Canthoplasty procedure explained. This is a reconstructive surgical procedure which is used to correct drooping or sagging eyes, by tightening the muscles or ligaments that give support to the outer corners of the eyelid. Canthoplasty essentially alters the shape of the eye.

What is Canthoplasty?

Canthoplasty or canthopexy is a very simple cosmetic technique, involving minimally invasive surgery to lift the external commissure of the eyelids, eliminating the expression of sadness of the look in an ambulatory intervention that lasts approximately one hour.

Where is the lateral Canthus?

Canthus (pl. canthi, palpebral commissures) is either corner of the eye where the upper and lower eyelids meet. More specifically, the inner and outer canthi are, respectively, the medial and lateral ends/angles of the palpebral fissure

What is a lateral Canthotomy?

Lateral canthotomy, the emergency treatment for orbital compartment syndrome, is the surgical exposure of the lateral canthal tendon. Cantholysis is canthotomy plus incision of the inferior branch (crus) of the tendon

What does Canthoplasty mean?

canthoplasty. (kăn′thə-plăs′tē) 1. The lengthening of the palpebral fissure of the eyelids by cutting through the external canthus

Does Canthopexy make eyes smaller?

By design, canthoplasty procedures make the lower lid frame of the eye more rounded, because they disassemble and reassemble the outside corner of the eye while shortening the lower lid. … By restoring a “normal” eye shape, lateral canthopexy makes the eye appear more youthful

Is there surgery to make eyes bigger?

Eyelid surgery (also called an eye lift or blepharoplasty), reduces bagginess from lower eyelids and removes excess skin from the upper eyelids. This surgery is usually done for cosmetic reasons. It’s also an effective way to improve sight in older people whose sagging upper eyelids get in the way of their vision

What is a entropion repair?

Ectropion and entropion are common maladies of the eyelid margin that can directly affect ocular function and patient comfort; surgical repair is commonly performed. Ectropion (out-turning of the eyelid) can present with keratoconjunctivopathy, infection, and dermatitis, among other signs and symptoms

What does Cantholysis mean?

Emergent orbital decompression in tense orbital hemorrhage with compromised ophthalmic blood flow may be achieved with lateral canthotomy, defined as incision of the lateral canthal tendon, and cantholysis, defined as canthotomy combined with disinsertion of at least the inferior crus of the lateral canthal tendon.

Lateral epicanthoplasty