Lateral Canthoplasty Restoration, Reconstruction, and Revision: Pre-op, Post-op, and 1-Week Progress

In this post, we will discuss lateral canthoplasty restoration, reconstruction, and revision surgery, covering the stages from pre-operation to immediately after surgery and the one-week progress mark.

Occasionally, when lateral canthoplasty is performed excessively, the lateral canthal tendon can become damaged. This causes the eye corner to lose its natural structure and take on a ‘U-shaped’ or ‘C-shaped’ appearance.

The lateral canthal tendon is indicated by the arrow in the image above.

If this area is injured, the lateral canthal tendon becomes detached, leading to mucosal exposure. This can result in the eyes not closing completely or giving the face a ‘crying’ or sad expression.

Below is the appearance before surgery and at the one-week mark when the stitches were removed.

The following video shows the progress:

The principles of the surgery are as follows:

• 1. Cleanly remove the existing scar tissue.
• 2. Locate the detached lateral canthal tendon and restore it to its original position.
• 3. Re-suture carefully to ensure the scar is as invisible as possible.

Is it just me, or does the eye actually look larger rather than smaller after restoration? ^^

The video conveys the severity of the initial condition more clearly than the photos.

Rather than undergoing indiscriminate lateral canthoplasty, it is better to use a method that minimizes scarring and achieves a moderate, natural result. I recommend conservative widening rather than overdoing it and requiring revision surgery later.