Canthoplasty or Canthopexy | Cosmetic Surgery For Eye

Although the terms are sometimes used interchangeably, canthoplasty and canthopexy are different surgical procedures. Canthoplasty involves cutting through the orbicularis oculi muscle, detaching the lateral canthal tendon from the bone at the side of the eye socket, and removing a piece of the tendon. The internal structure of the lower lid is then pulled over and attached to the spot on the eye socket where the tendon had been attached. Excess skin may be removed as well. Canthopexy uses sutures to tighten and stabilize the same tendon and muscle without detaching or reconstructing the tendon. The result is the correction of a gaping lower lid that can be combined with removal of excess or sagging skin.

Although canthoplasty and canthopexy can be done strictly for cosmetic reasons—to remove under eye bags and make the eyes and face look younger and more refreshed—either surgery may be required to treat a lower eyelid that is gaping open, a condition called ectropion. Ectropion can cause dryness in the eye and irritation and may lead to eye infections. An ectropion can also be caused by trauma to the eyelid or by surgery to remove skin cancers around the eye.

Canthoplasty is more invasive than canthopexy. Because it shortens the lower lid slightly, if the surgery fails in several years, or if the sagging of the lid progresses, there is not as much tissue in the lower lid that can be pulled up to correct the problem. Some surgeons reserve canthoplasty for people who have functional problems with the eyelid, such as ectropion, and use a canthopexy procedure for cosmetic treatment of the lid.

Health insurance may cover canthoplasty or canthopexy if you have ectropion and a dry eye problem, but will not cover them for purely cosmetic reasons. You will be responsible for the costs of cosmetic eyelid surgery, but financing can be arranged. 

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