Upper Lid Blepharoplasty

A canthoplasty is a cosmetic procedure which addresses the outer angle of the eye, known as the lateral canthus, and has recently become referred to as Almond Eye Surgery.

It aims to improve the shape of the eyelids and address sagging or asymmetry by tightening the muscles or ligaments that support the outer corner of the eye.

Canthoplasty is a highly specialised eyelid procedure which requires an oculoplastic surgeon. An oculoplastic surgeon combines the skills of plastic, reconstructive and cosmetic facial surgery with training in ophthalmic and general eye surgery.

What does canthoplasty surgery involve?

Canthoplasty is performed on the lateral canthus at the outer corner of the eye where the lower and upper eyelid meets. Aesthetically, this should be positioned slightly higher than the medial canthus which is the junction between the lids by our nose, giving an upward slant to the eyes. Patients often feel a pronounced downward tilt makes them look sad, old or tired while a marked upward tilt narrows the eye shape.

Each patient is unique, and the techniques used will depend on the patient’s individual anatomy, but typically Dr Nick Koutroumanos will be able to carry this out without a skin incision made at the outer corner of the eye. If downward tilted, the tendon is lifted and tightened before it is reattached using sutures.

Canthoplasty FAQs

Younger patients with a downward tilt to the outer angle of the eye and older patients that have experienced sagging of the ligaments and tendons that surround the eye could benefit from a canthoplasty.

Dr Nick Koutroumanos most frequently used technique does not use a skin cut. If one is needed, it will always be positioned in the natural crease of the eye to minimise any visible scarring.

As with a blepharoplasty, you can expect some bruising and swelling after a canthoplasty but these should resolve after one to two weeks. Dr Nick Koutroumanos will provide you with comprehensive guidelines to ensure a smooth recovery.

You may notice a change in your eyesight, but this will be temporary for most patients, and normal vision returns quickly.

Potential complications include eye asymmetry, noticeable scarring, infections, bleeding and the formation of haematomas. You may experience eye irritation or sensitivity, but these should be temporary. In very rare cases, vision may be affected. However, a canthoplasty is generally a safe and effective procedure when performed by a skilled and experienced oculoplastic surgeon such as Dr Nick Koutroumanos who assesses your eye health at every stage alongside aesthetic considerations

A canthoplasty can be performed as a standalone procedure, but it is often combined with an upper and/or lower blepharoplasty or a brow lift.

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