Transblepharoplasty Incision Lower Lid Canthopexy

  • John R. Burroughs
  • Richard L. Anderson


Many patients benefit from addressing lower eyelid lateral dystopia, the “sad” age-related downward slant. Lateral canthopexy is performed on most of our cosmetic patients when they undergo upper blepharoplasty. We prefer a 5-0 vicryl or PDS on a P-2 needle to suture the inferior crus of the lateral canthal tendon to the orbital rim more superiorly (Figure 32.1). This helps provide a pleasing upturn to the lateral lower eyelid, yielding a more almond shape that is aesthetically pleasing.
Figure 32.1

P-2 needle engaging periosteum inside lateral orbital rim after it has been placed through the inferior crus of the lateral canthal tendon (view, left side from above).


Public Health Plastic Surgery Prefer Treatment Skin Tissue Lower Lateral 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • John R. Burroughs
    • 1
  • Richard L. Anderson
    • 2
  1. 1.Eye and Facial AppearancesColorado SpringsUSA
  2. 2.Center for Facial AppearancesSalt Lake CityUSA

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