What is canthoplasty

Canthoplasty is a surgical procedure that modifies the lateral canthus, the outer corner where the upper and lower eyelids meet. It’s commonly performed to lift drooping eyelids, enhance eye symmetry, or create a more elongated, almond-shaped appearance. Often referred to as “cat eye” or “almond eye” surgery, it’s popular among individuals seeking a more youthful or exotic eye contour.

This procedure is distinct from canthopexy, which tightens the existing canthal tendon without cutting or repositioning it. Canthoplasty, by contrast, involves cutting and reconstructing the tendon, making it more suitable for patients with significant eyelid laxity or those desiring a dramatic change in eye shape.

How is canthoplasty performed

Canthoplasty is typically performed under local anesthesia with sedation or general anesthesia, depending on the patient’s comfort and the surgeon’s recommendation. The procedure takes about 45 minutes to 1.5 hours. A small incision is made at the outer corner of the eye, allowing the surgeon to access and modify the lateral canthal tendon. The tendon is then repositioned and secured to lift and reshape the eyelid.

Once the desired contour is achieved, the incision is closed with fine sutures. Most surgeons use dissolvable stitches, especially if the incision is made inside the eyelid. The result is a more defined and elevated outer eye corner, with minimal visible scarring.

How much does canthoplasty cost

In Australia, canthoplasty costs between $3,000 - $7,000AUD, depending on the surgeon’s experience and clinic location. In the United States, the average cost is $6,398USD, with a range from $3,000 - $8,000USD, influenced by geographic region and surgical complexity.

Mexico offers more affordable options, with prices typically between $2,500 - $2,800USD, often including accommodation and post-op care. In Turkey, the cost ranges from $1,500 - $5,000USD, with lateral canthoplasty alone priced around $1,500 – $3,500USD.

How to prepare for canthoplasty

Preparation begins with a detailed consultation with a board-certified plastic or oculoplastic surgeon. You’ll discuss your goals, medical history, and any medications you’re taking. Your surgeon may recommend stopping blood-thinning medications and supplements like aspirin, fish oil, or vitamin E at least a week before surgery.

Avoid smoking and alcohol in the days leading up to the procedure, as these can impair healing. Arrange for someone to drive you home and assist during the first 24–48 hours. It’s also wise to stock up on soft foods, cold compresses, and prescribed medications to ease your recovery.

What are the risks and possible side effects of canthoplasty

Canthoplasty is generally safe, but like any surgery, it carries risks. Common side effects include swelling, bruising, and mild discomfort around the eyes. These typically resolve within a week. More serious risks include infection, scarring, asymmetry, and eyelid malposition, which may require revision surgery.

Rare complications include difficulty closing the eyes fully or excessive tearing. These are usually temporary but should be monitored closely. Choosing an experienced surgeon and following post-op instructions can significantly reduce the likelihood of complications.

Will canthoplasty affect my vision?

Canthoplasty does not typically affect vision. The procedure targets the outer corner of the eyelid and does not interfere with the eyeball or the central visual field. However, temporary side effects like swelling, tearing, or sensitivity to light may occur during the first few days of recovery.

If performed incorrectly or if healing is disrupted, there’s a small risk of eyelid malposition that could affect eye closure or tear drainage. These issues are rare and usually correctable. Always consult a qualified surgeon to minimize risks.

How long do results from canthoplasty last

Results from canthoplasty are long-lasting, often permanent. Once the tendon is repositioned and healed, the new eye shape remains stable for years. Aging and skin laxity may eventually affect the area, but the structural changes made during surgery are durable.

Some patients choose to combine canthoplasty with other procedures like blepharoplasty or brow lifts for a more comprehensive rejuvenation. In such cases, the longevity of results may depend on the overall facial aging process.

How long is recovery from canthoplasty surgery

Recovery from canthoplasty is relatively quick. Most patients return to work within 5 to 7 days and swelling and bruising typically subside within 10 days. Light exercise can resume after 2 weeks, while more intense activity should wait until 4 to 6 weeks.

Final results are usually visible by 6 weeks, once all swelling has resolved and the eyelid contour has stabilized. During recovery, it’s important to avoid rubbing your eyes, wearing makeup, or exposing the area to direct sunlight until cleared by your surgeon.