[Real Patient Case] Corner Canthoplasty

#Canthoplasty #GangnamCanthoplasty #GangnamPlasticSurgery #CornerCanthoplasty #LowerCanthoplasty #RoundCanthoplasty #UversePlasticSurgery #Uverse #GangnamCanthoplasty #GangnamCornerCanthoplasty #GangnamEyeRevision #LateralCanthoplasty

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Today, we will review a case of a patient who underwent Corner Canthoplasty at our clinic.

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Pre-operative Analysis

The patient is a woman in her 20s who wanted lateral and lower canthoplasty.

During the consultation, I examined her eyes and found that the distance from the outer corner of the eye to the orbital bone,

the so-called 'posterior space,' was quite narrow at about 3mm,

and the outer corners of her eyes were at an appropriate angle, not slanted upwards.

Usually, lateral and lower canthoplasty are most effective when

1) the outer corners are slightly slanted upwards, and 2) the posterior space is 4mm or more.

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Although the patient did not meet either of these conditions,

she requested that we design the maximum possible extension within the allowable range.

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In such cases, it is important to design while looking in the mirror together with the patient.

I explained my recommended design and the possible surgical range,

making sure it aligned with the patient's needs.

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The design was planned to extend as far back as possible while limiting the downward fixation.

The key points to be careful about during surgery were:

1) When the space is narrow, trying to extend too far backward can cause poor contact with the eyeball, leading to the eyelid pulling away (ectropion).

2) The further down it goes, the more drooping the outer corners may appear.

Considering these two factors, we needed to find the most appropriate fixation position during the surgery.

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Consultation and Surgical Process

While designing, I pull the lower tarsal plate to check the expected results.

Especially for the desired posterior length extension, to minimize conjunctival exposure,

I plan to set the fixation point deep inside the orbit.

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The actual incision made during surgery is always similar, around 4mm,

so the scar does not become more noticeable even if the extension is longer.

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The incision line is made just before the mucous membrane,

which I believe is a crucial point to reduce the chances of future 'C-shaped' deformity or relapse due to the wound fusing back together.

After dissecting so the lower tarsal plate can be pulled smoothly, I test the fixation,

and check the degree of contact with the eyeball at the back.

If necessary, I repeatedly release the fixation and re-fixate it in a new position.

In this patient's case, because the posterior space is narrow, it may look slightly pulled away immediately after surgery,

but I proceeded with the canthoplasty predicting it would settle appropriately after 1-2 months.

Afterward, the surgery is completed with skin sutures.

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7 Days Post-Op

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Immediately after surgery, opening the eyes can be slightly uncomfortable because the outer corners are pulled,

but it becomes much more comfortable by the time the stitches are removed around the 1-week mark.

Since the roughly 4mm incision is located in the natural crease,

the scar becomes almost unnoticeable over time.

At 1 week, you can see the lateral and lower areas are opened with a still-tight feeling,

which will gradually settle into a softer look as time passes.

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2 Weeks Post-Op

At 2 weeks, opening the eyes feels much more comfortable,

and by 2 months, you can see that the slight pulling at the ends has settled to an appropriate degree.

To check the effect of lateral and lower canthoplasty, observing the angle of the outer corners when looking up

is the most intuitive method in my opinion.

Performing the downward extension just up to the horizontal line yields the most natural results.

Even looking at the 2-month progress, the scar is barely noticeable,

which I consider a major advantage of my Corner Canthoplasty.

In particular, because it is a surgical method that can achieve the desired design by adjusting the degree of lateral and lower extension

while maintaining a natural, unexaggerated look,

you can expect good results if the desired look matches the design confirmed together during the consultation.

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Before Surgery / 7 Days Post-Op / 2 Weeks Post-Op

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In this post, we reviewed a Corner Canthoplasty case.

We will continue to provide more detailed information through various case reviews in the future.

If you have any questions, please leave a comment and we will answer them.

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Frequently Asked Questions

Will there be a lot of scarring after canthoplasty (corner eye surgery)?

No, scars are almost imperceptible. During the actual surgery, a micro-incision of about 4mm is made, and since this incision site is located in the natural crease of the eye, it becomes natural over time. The advantage is that scars are barely visible even after 2 months post-surgery.

Is lateral canthoplasty and lower canthoplasty possible even if the space at the back of the eye is narrow?

Yes, it is possible, though limited. It is usually effective when the space at the back is 4mm or more, but even if it is as narrow as 3mm, it can be designed to meet the patient's needs. However, if extended excessively, it may not make proper contact with the eyeball, causing it to float or the outer corner of the eye to appear droopy, so finding an appropriate fixation position is important.

When are the stitches removed after canthoplasty?

The stitches are removed approximately 1 week after the surgery. Immediately after the surgery, the outer corner of the eye may feel pulled, making it a bit uncomfortable to open the eyes, but after 1 week and stitch removal, it becomes much more comfortable. From this point, the tight feeling gradually begins to soften and settle.

Will the eye corners reattach or relapse after canthoplasty?

The probability of recurrence can be significantly reduced. By using a method that makes incisions only up to the immediate vicinity of the conjunctiva, we prevent side effects such as the outer corner of the eye changing into a 'ㄷ' shape or the wound reattaching and relapsing. We also minimize conjunctival exposure by firmly fixing it deep within the orbit.