2026-05-29
Case Study: Lateral Canthoplasty Reconstruction (Lateral Canthal Repair)
A clinical case study on lateral canthoplasty reconstruction to correct exposed red mucosa and ectropion caused by excessive initial surgery.

Case Study: Lateral Canthoplasty Reconstruction (Lateral Canthal Repair)
Hello, today’s post is about lateral canthoplasty reconstruction.

As shown here, when one tries to enlarge the eyes too much through lateral canthoplasty, the red mucosa can become excessively exposed.
While this might make the eyes look larger, it often results in an unnatural appearance.

This is the pre-operative appearance.
The patient’s left eye (right side of the photo) shows ectropion, and the patient’s right eye (left side of the photo) shows exposed red mucosa.
The surgery involves cleanly removing the scar tissue, repositioning the separated lateral canthal ligament back to its original location, and then suturing it neatly.
It sounds simple, but it is a difficult procedure to perform without extensive experience.

This is the post-operative appearance. The mucosal coverage has improved significantly, and the results are excellent.
I am pleased that the surgery turned out so well.
Frequently Asked Questions
What causes red conjunctiva to be exposed after lateral canthoplasty?
It is because the surgery was performed excessively with the aim of making the eyes overly large. If lateral canthoplasty is done too much, the red conjunctiva can be exposed externally or ectropion can occur, making the eyes look unnatural.
How is lateral canthoplasty revision surgery performed?
It is performed by cleanly excising the existing scar tissue and repositioning the ligaments. Afterwards, the separated lateral canthal ligament is precisely fixed in its original position and meticulously sutured again to improve conjunctival exposure and ectropion.
What is the most important aspect of lateral canthoplasty revision surgery?
The medical team's extensive surgical experience is the most important. The process of removing scar tissue and restoring the lateral canthal ligament to its original position is not as easy as it sounds and is very delicate, so you should receive surgery from a skilled medical team.
What effects can be expected after lateral canthoplasty revision surgery?
You can expect the exposed red conjunctiva to be covered and ectropion to be improved. Through this, the unnatural eye shape from before the surgery will recover to a natural and comfortable appearance, and functional discomfort can also be alleviated.