Title: Canthal Tilt Surgery: Preventing Premature Dropping of the Canthi
Headings: Canthal Tilt Surgery:
Preventing Premature Dropping of the Canthi

Canthal Tilt Surgery: Preventing Premature Dropping of the Canthi
Types of Canthal Tilt
How to Determine Your Canthal Tilt
How to Prevent Premature Dropping of the Canthi
Canthal Tilt Correction: Canthopexy vs. Canthoplasty
Canthal Tilt Surgery and Blepharoplasty

Content: If the patient already has a positive canthal tilt, the surgeon may still perform canthoplasty for extra support so the positive tilt will endure. As Schlessinger notes, technically standard eyelid surgery (blepharoplasty) does not address canthal tilt nor change the shape of the eye. Instead, it is meant to improve the appearance of tired or baggy eyelids. However, as Truswell points out, canthal tilt is taken into account during the initial consultation for those considering blepharoplasty. Assessing canthal tilt is an important part of a plastic surgeon’s evaluation of the lower eyelid, because the lower eyelid is a vital aesthetic and functional component of the face. Canthal Tilt Surgery and Blepharoplasty
Sometimes canthal tilt surgery is combined with blepharoplasty for optimal results. “ Adding canthoplasty to a blepharoplasty procedure can help tighten the eyelid,” says Schlessinger. The canthal tilt can be changed by further adding a canthopexy technique whereby the tendons are not only tightened but moved and reattached to the bony orbital rim. “The tendons of the outer canthus need to be surgically disinserted from their attachments to the bone of the bony rim of the eyelid and moved up or down in order to change the angle,” Schlessinger explains. “ The medial [canthus] is much more difficult to change and generally only operated on for reconstructive (i.e., trauma or cancers) rather than cosmetic purposes.”