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: Usually, the procedure involves splitting the canthal angle and cutting the lateral canthal tendon away from the lateral orbital rim. The lower lid is then shortened and a new lateral canthal angle created using stitches. During outer canthoplasty, the lateral canthus is tightened and elevated. This allows the surgeon to accurately restore a positive canthal tilt, and ideally create a more natural appearance. Lateral canthoplasty can be used during any form of lower eyelid surgery. 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.