Canthoplasty Surgery

Canthoplasty and Three Conditions Eyelid Surgery Helps Treat

You may have one of several eye conditions you are looking to repair though surgery.

Or perhaps you have researched information about Canthoplasty procedures, and are wanting to learn more about how these surgical procedure(s) can help you OR which of our leading Melbourne & Sydney Surgeons can best assist you to remedy drooping eyelids.

canthoplasty surgery ectropian and entropian correction surgery

Definitions:  What is Canthoplasty Surgery?

A Canthoplasty refers to any or all of the several procedures that can be used by a Specialist Surgeon for changing the configuration (or position) of the lateral canthus, which means the corner of your eyes where your upper eyelids meet your bottom eye lids [1].

Canthoplasty surgery can be used to:

  • correct eyelid issues including ptosis or disfigurement caused by trauma, ageing or disease
  • correct prior eye surgeries that haven’t gotten the best results (e.g., Revisional Blepharoplasty for correcting prior lower eye lid surgery)
  • tightening the muscle(s) that connect your upper and lower eye lids (these eye area muscles weaken as you age)

canthoplasty surgery, lower blepharoplasty, ectropian entropian surgery, dark under eye circles,

Types of Canthoplasty Eyelid Surgeries

Lateral Canthoplasty can achieve less-sleepy looking eye lids or a ‘Cat Eye’ appearance

You may be investigating a Canthoplasty procedure to correct your drooping lower eyelids; or you might want this eye lid surgery to help soften the look of your eyes – helping to give you a less sleepy appearance.

  • A lateral canthoplasty can help shape the outer corner parts of your eye
  • This eye lid surgical technique was originally created to repair certain eyelid dysfunctions
  • This surgery is now also sometimes performed as a Cosmetic procedure to help create a softer appearance around the eye area
  • Canthoplasty has been a popular surgery for women and men of Korean heritage and people for anyone who has a drooping outer eye lid area and who seeks a slightly more open-eyed appearance)

canthoplasty, asian eye lid surgery, double eye lid lift

  • For many individuals, this procedure helps your eyes look a bit more open; reducing a ‘sleepy-looking’eyelid appearance
  • Some patients also seek a Canthoplasty procedure for a slightly more ‘cat eye’ appearance, e.g. to add a slightly upward slant of the lower eyelid

Epi-canthoplasty

An epi-canthoplasty can help shape the inner corner part of your eyes.

epi-canthoplasty surgery with lateral canthoplasty and ectropian entropian eye surgery

The two techniques combined (lateral canthoplasty and epi-canthoplasty) may provide you with the specific eyelid appearance changes that you are trying to achieve, but be cautious when you choose your Surgeon as these are complex eyelid surgeries requiring advanced expertise and surgical judgment along with precision surgical skills.

Be sure to choose an experienced Oculoplastic Surgeon (such as Melbourne’s leading Blepharoplasty Expert, Dr Benjamin Burt, who has dedicated his career only in surgeries of the eyes, eyelids and brows) or a Specialist Plastic Surgeon who specialises in eye lid surgery (such as Dr Lionel Chang in Sydney. Don’t risk a cheap surgeon on an area so crucial for your facial appearance (and overall well-being)  as your EYE and EYE LID area, as Eye Lid Surgery can also impact upon your vision.eye lid surgery, canthoplasty

Ectropion: Correcting Ectropion by Canthoplasty Surgery

Ectropion is a condition that usually occurs as our eyelids age.

The term ‘Ectropion’ refers to the outward turning of the lower eyelid [2].

droopy lids eyelid ageing canthoplasty ectropian entropian surgery

What causes Ectropion?

As you get older, your eye muscles weaken or ‘atrophy.’

These eye muscles, like the rest of your body, fail to function normally once they become overly weakened.

Here’s what generally happens as people’s eyes and eye area ages over time.

  • The eye area muscles and skin becomes looser and loses elasticity as you age
  • As elasticity fails, so too does the strength and function of those eye lid muscles – meaning you may end up with lower eyelid drooping and eye lid sagging over time (you can also end up with noticeable under eye ‘bags’ or puffiness under your eye area)
  • Loose muscles and weakened skin then cause your LOWER eyelid to DROOP as well as TURN slightly outward, which:
    • can lead to irritation of your eyes and
    • may result in excessively DRY eyes if the flow from your tear ducts aren’t reaching your eye area or
    • may result in weepy, chronically watery eyes due to changes in the position of your tear ducts

Ectropion and Tear Ducts – Dry Eyes

Tears are important for eye health and hence.  This means the position of your tear ducts can impact the health of your eye area.

  • Tears are imperative for your overall eye health AND to maintain clear vision
  • Tears consist of a mixture of water, fatty oils and mucus
  • Tears not only help keep your ocular (eye) area moist, they also help to wash away bacteria, dust or small particles/debris
  • Blinking is part of the process of maintaining good eye health
  • But if your tear ducts end up compromised (or draining downwards) due to turning outwards, or earlier surgery gone wrong, then this can lead to irritated, watery eyes

 

  • If the condition becomes severe enough, you can actually end up with a chronically watery eye  
  • A watery eye can occur when your tear duct gets pulled downwards (as your lower eye lid droops) to a point where tears flow down your face instead of the ducts simply helping to moisturise the delicate surface of your eye

In the diagram below, the yellow highlight indicates a point where a lower eyelid can droop downwards (or turn outwards).

It’s easy to see, then, how ageing eyelids can compromise the position of your tear ducts (lacrimal ducts). When ageing eyelids have moved the position of your tear ducts (or prior lower blepharoplasty surgery has not gone to plan), then Canthoplasty Surgery may be required to repair the droopiness – and restore the location of the tear ducts – to where they can maintain their normal function to help lubricate, protect and nourish your eyes.

canthoplasty ectropian entropian surgeon melbourne eyelid surgery

Other causes of Ectropion (Condition of Eyes/Eyelids)

  • Ectropion can ALSO be CAUSED by trauma to the eye, such as burns, blunt force injuries and paralysis from tumors and other medical conditions.
  • It can also sometimes be caused through ongoing inflammation in the eye area, including damage caused by wearing certain types of contact lenses.

So how does corrective surgery help repair Ectropion eyelids?

Can eyelid surgery help restore your ability to blink properly and fully close your eyelids?

  • A Canthoplasty Surgery by an experienced Surgeon CAN tighten the tendons responsible for keeping the eye area taught, which can help restore your ability to BLINK properly or to fully CLOSE your eyes (e.g., fully close your eye lids)
  • Tightened tendons can help provide much needed support for the skin and muscles around the eye area/eye lids
  • Through Canthoplasty surgery, your cornea (and entire eye surface area) can become better protected
  • This procedure provides ocular-muscle support as well as restores tear duct lubrication capacity – that is often lacking with the condition of Ectropion

Entropion: Correcting Eye Lid Entropion through Surgery

Entropion is the opposite of Ectropion and the term refers to the inward turning of the lower eyelid.

So where Ectropion is an outward turning of your eye lids and eye lashes, Entropion is where they appear to turn in on themselves, with the lashes now heading towards – rather than away from – the surface of your eye.

entropian or ectropian eye lid conditions, eyelashes irritating eyes

The eye lid condition of Entropion can be extremely irritating.

  • People with Entropion constantly feel as if they have ‘something’ in their eye.
  • This is because, with Entropion, your lower lashes turn inwards towards your eye surface and often cause a constant irritation of your eye.

If you are like many others affected by Entropion, then you might have tried nearly everything to get some relief – some people even resort to taping down their lower eyelids.

Canthoplasty surgery can provide you with a lasting solution to the constant eye area irritation that occurs with the medical condition of Entropion.

canthoplasty, eyelid surgery to correct entropian

But remember, operating on the lower lids is NOT a simple procedure and requires advanced surgical skill, great knowledge and highly-precise judgment.

Eyelid Surgery is Complex: Many Surgeons can get Lower Eyelid Blepharoplasty or Canthoplasty Surgery wrong.

  • Don’t underestimate the importance of choosing a highly skilled Specialist Surgeon for eyelid and eye area surgery – your vision is at stake.
  • Choose an experienced Oculoplastic Surgeon (or Specialist Plastic Surgeon) who has extensive experience in operating on the lower eye lids.

It is best to choose a devoted Surgeon with decades of expertise in correcting Entropion or Ectropion conditions and who has performed complex surgeries to correct lower eyelid problems.


The great news is that you have come to the perfect place for your eye surgery because we have Melbourne & Sydney’s leading Upper Blepharoplasty, Lower Blepharoplasty, Canthoplasty & Entropian and Ectropian Surgeons.

In Melbourne, choose Dr Benjamin Burt, an Oculoplastic Surgeon with extensive experience in fixing lower eye lid problems through Canthoplasty surgery procedures (Dr Burt is shown below).

canthoplasty, lower eyelid surgery, blepharoplasty, entropian surgery, ectropian surgery

In Sydney, visit Dr Lionel Chang, an expert in surgeries of the eyelids, brows and face.


Oculoplastic Eye Lid Surgery: What to Expect From an Experienced Canthoplasty Surgeon such as Dr Benjamin Burt, FRANZCO FACS.

Dr. Benjamin Burt is one of Melbourne’s leading Blepharoplasty Eyelid Surgery Experts; he operates at accredited major hospitals in Melbourne and uses a top team of Surgical Support staff[3].

Not all surgeon’s are equal in terms of experience and training. It’s best to choose a Surgeon who has made corrective eye surgery and plastic surgery for eyelid corrections their life’s work.

For eye lids in Melbourne, you’ll be in great hands with Dr Burt, Oculoplastic Surgeon and Lower Eye Lid Surgery Experts who has performed thousands of surgeries.

Surgical Experience & Skills Summary of Dr. Benjamin Burt, FRANZCO FACS

  • Over 4,000 lid, orbital, and facial procedures including ectroprion, entropion, blepharoplasties and ptosis repair – including reconstructive, revisional surgeries and plastic & cosmetic surgery procedures
  • Special surgical interest in: oculoplastic surgery, blepharoplasty, orbital, facial and ocular trauma; ophthalmic, orbital and plastic surgical robotics
  • Cosmetic oculoplastic surgery procedures to improve the appearance & function of the eyes and eyelids
  • Bachelor of Medicine/Bachelor of Surgery (MBBS) Honours – University of Melbourne, 1997
  • Fellow of the Royal Australian & New Zealand College of Ophthalmologists (FRANZCO)
  • Fellow of the American College of Surgeons (FACS)… and more!

Steps to Canthoplasty Surgery

STEP ONE: Consultation

  • You want to be sure that you have a thorough consultation with your Surgeon
  • You and your Surgeon can discuss your expectations about what can actually be achieved through corrective eyelid surgery such as a Canthoplasty or other type of Eyelid Surgery.
  • Find out if you’re a good candidate for these procedures and what’s involved.

Your surgeon will also discuss your overall health and what may be needed before and after surgery to achieve optimum results and healing.  If you get a GP referral for your consultation, you will likely be entitled to a partial rebate on the consultation. Some medical conditions and surgeries of the eyelid may also qualify for rebates from insurance or medicare but you’ll need to enquire about this, as NOT all eye lid surgeries are eligible.

STEP 2:  Scheduling the Eyelid Surgery procedure

Scheduling of your surgery can take from a few weeks to a few months, and is partially dependent on your ability to take time off from your day-to-day (work, childcare, driving) to fully heal and partially dependent upon your Surgeon’s availability. If you have a GP referral

  • Canthoplasty is a relatively quick surgery in terms of SURGICAL time (~1 to ~2  hours for most patients)
  • PATIENT downtime is also relatively brief (several days of resting & recovery whilst following your Surgeon’s instructions closely as you heal) but this will vary from patient to patient.
  • Your Surgeon may ALSO recommend performing the surgery with a combination of other treatments to achieve maximum results.

Combined procedure options may depend on a number of factors, including your facial anatomy, your genetics, your lifestyle and whether or not your skin has aged prematurely, and if there are other issues with skin laxity or drooping eye lids (or brows).

Other relevant factors may include the causes of your eyelid condition(s) and whether this is a revisional lower Blepharoplasty procedure.

Step 3: Eye Lid Surgery and Recovery (Canthoplasty)

Full recovery from a Canthoplasty will vary for each patient, but you can expect roughly 2-4 weeks. So put your feet up, rest your eyes, and follow your Surgeon’s post-surgery instructions carefully for best results.

healing-post-op-feelings-recovery-surgery

This is a relatively short recovery as the surgery is often performed using just a local anesthetic.

Your Surgeon will provide you with specific post-op healing instructions.

  • After surgery, your eyelids and eye area may be a bit sore, swollen and bruised.
  • So try to rest as much as you can after surgery and keep your head fully elevated to help reduce swelling.
  • Your Specialist will provide you with prescriptions for any post-op medications and/or  Post-Surgery “Rapid Recovery” pack that can aid with your recovery after Canthoplasty surgery.

Having your surgery performed by a well experienced surgeon will help minimize scarring as you recover from your procedure.  Often, the scars from eyelid surgery are very fine, hidden under the lash line and hardly noticeable – but if you scar easily, be sure to let your Surgeon known.

lower-eyelid-surgery-fat-transposition Canthoplasty surgery ectropian entropian surgeon Melbourne

If you’re having other facial surgery or facial rejuvenation procedures, you might want to also ask about Fraxel or Healite II options.

To learn more about Canthoplasty and set up your consultation with Eyelid Expert, Oculoplastic Surgeon Dr. Benjamin Burt – or one of our leading Facelift Plastic Surgeons – please fill out our enquiry form towards the end of this page (or on the side of this page).

You can also phone us on (03) 8849 1444 during Clinic Hours and we can put you in touch with one of our Sydney or Melbourne Face & Eyelid Surgeons.

We look forward to helping you get your eyelids to where they look great AND are most efficient at protecting your eyes!

[1] Source: Medical Dictionary/Canthoplasty

[2] Source: http://www.healthcentre.org.uk/cosmetic-surgery/canthoplasty-treating-ectropion.html

[3] Source: http://www.mayoclinic.org/diseases-conditions/entropion/home/ovc-20178277