Canthal surgery

Abstract

One of the major complications of lower eyelid blepharoplasty with or without midface lifting is postoperative lower lid retraction or ectropion. Ectropion is seen more commonly with transeyelid approaches than with transconjunctival or temporal approaches. Lower eyelid tightening at the lateral canthus can significantly reduce the incidence of lower lid malposition after surgery. Consequently, canthal surgery has become an essential adjunct when operating on the lower lids and midface and numerous techniques have been described.