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- Title
Lateral Canthopexy in Lower Blepharoplasty: A Review Literature.
- Authors
Ramalingam, Balakrishnan
- Abstract
Background: Lower eyelid malposition is a known complication of lower (lid) blepharoplasty surgery. The prevention of this complication is easier than its treatment. Over the past 10 years lot of patients have had lower blepharoplasties with a canthopexy procedure and in some cases a tarsal strip canthoplasty. The criterion for a lateral tarsal strip canthoplasty was a lid distraction distance greater than or equal to 10 mm. Lid distraction distance is the distance the eyelid can be pulled away from the globe after the initial skin incision has been made and measured with calipers. If the eyelid can be pulled away from the globe less than 10 mm, then a canthopexy is performed, which occurred in 98% of cases. Patients had lateral canthopexies regardless of age or preoperative assessment. Herein, we describe a simple method of canthopexy that can be performed on most patients having a lower blepharoplasty, to not only achieve a cosmetically superior result but also to prevent eyelid malposition or ectropion. Conclusion: We have described a simple prophylactic canthopexy suturing technique that all surgeons performing lower blepharoplasty can do to prevent rounding or ectropion. Naturally, the more cases that are done, the more accurate will be the eyelid position and adequacy of eyelid tension achieved. Lateral tarsal strip canthoplasty is also used in more advanced cases of lid laxity.
- Subjects
BLEPHAROPLASTY; SUTURING; EYELIDS
- Publication
Indian Journal of Forensic Medicine & Toxicology, 2020, Vol 14, Issue 4, p1123
- ISSN
0973-9122
- Publication type
Article
- DOI
10.37506/ijfmt.v14i4.11667