Lower Eyelid Lift Surgery (Canthoplasty or Canthopexy)

The correction of loose, sagging, swollen lower eyelids


By Kai Wade, Director of Communications & Social MediaLast modified: September 02, 2011



Lower Eyelid Lift Surgery (Canthoplasty or Canthopexy)

Lower Eyelid Lift Surgery (Canthoplasty or Canthopexy)

As we age the eyes can be the first area noticeably affected creating an unattractive appearance to the focal point of our face.  The growth of saggy unsupported fatty tissue contributes to swollen eyes and is repellent to the lower eyelids. Although the connection between canthoplasty and canthopexy are generally interchangeable, the end result is diverse. A lower eyelid surgery differs form that of an Eyelid lift surgery (blepharoplasty).

Canthoplasty represents a procedure designed to re-strengthen the lower eyelid support by separating the tendon from the bone and assembling a replacement. The less invasive canthopexy is designated to stabilize the existing tendon without eradicating it from its regular attachment. In both procedures the goal is to create a rejuvenated look to the face and a more striking appearance.

A Good Candidate for Lower Eyelid Lift Surgery (Canthoplasty or Canthopexy)


Lower eyelid lift surgery can assist any person with loose, sagging, swollen lower eyelids or anyone with functional and aesthetic anxieties related to the lower lids, independent of age. Procedures are typically performed with intravenous sedation. To be a good candidate you should be in good overall health, have no pre-existing illnesses or medical conditions, and be mentally stable.

You should have realistic expectations as this surgery can tighten the lower lid region, remove under-eye bags and assist in revitalizing your face. It may not recover dark circle development under the eyes unless the region is linked to shadows immersed by bulging fat in the lower eyelids. Many dark circles under the eye are associated with pigment complications and no amount of tightening will alter this.

Lower Eyelid Lift Surgery (Canthoplasty or Canthopexy) Procedure

Canthoplasty is executed by trimming the tarsal strip (between the upper and lower eyelid) towards the socket’s bony rim. The lower eyelid is detached and cut away from its connection to the bone. An incision is made on the eyelid edge a small distance from the cut tendon and the dense tissue closest to the tendon is exenterated of all reinforced skin and conjunctiva. This forms a trivial piece of dense fibrous tissue, a cartilage-like configuration that will be used to create the new and tighter tendon.

A suture is used to stitch the tissue to the inside layer of the bone situated just inside the socket's bony rim. The connection is secured with dissolving sutures and the covering muscle and skin are drawn closed.
A less invasive approach to lower eyelid lift surgery is canthopexy involving the tucking of the soft tissues beneath the dense fibrous tissue by suturing them to the lining of the orbital bone. Canthopexy is performed without detaching or reconstructing the tendon.

The vital similarity in these two closely related surgeries is the connection made between the supporting tendon, muscle, and tarsal plate to the rough external lining of the adjoining bone.

Although lower eyelid lift surgery (canthoplasty and canthopexy) can be done strictly for cosmetic reasons either one may be essential to treat ectropion, a lower eyelid that turns outward exposing the conjuctiva. Ectropion can involve long-lasting irritation to the lower eyelid and the eye and is usually caused by lower eyelid tissue over relaxing due to aging. It can also be the result of undetected skin cancers.

Risk and Side Effects of Lower Eyelid Lift Surgery (Canthoplasty or Canthopexy)

These techniques are safe, effective and yield tremendous results consistently with a very low complication rate. All surgeries carry the risk of complications. You may experience temporary dryness, blurred vision, or moderate tearing. The risk that you may not be content with the results of lower eyelid lift surgery can be avoided if you talk about your specific desired results during your consultation with your surgeon.

Recovery from Lower Eyelid Lift Surgery (Canthoplasty or Canthopexy)

Discomfort the day after surgery, along with slight swelling is common. Your plastic surgeon will prescribe you pain medicine. The healing process is relatively rapid with stitches being removed within a few days to a few weeks from the surgery.Cost of Lower Eyelid Lift Surgery (Canthoplasty or Canthopexy)

The cost varies based on the surgeon, the location, and the technique used to treat the problems associated with lower eyelid lift surgery. You can expect to pay between $2500 and $6000 for canthoplasty or canthopexy.

Scheduling an appointment with an experienced Lower Eyelid Lift Surgeon in a location near you is as easy as clicking here. Find a Lower Eyelid Lift Surgeon.













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