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: 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.” Adding canthoplasty to lower eyelid surgery shouldn’t affect the recovery period. However, canthal tilt procedures are intricate, therefore requiring extensive training, experience and skill. “Canthopexies and canthoplasties should only be performed by surgeons with proper training and experience in that area,” says Schlessinger. “ Most oculoplastic surgeons are very familiar with this technique as we routinely perform it for our reconstructive patients.” When done correctly, canthoplasty should last for life.