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Canthoplasty is as aesthetic or functional procedure to reconstruct or reshape the lateral canthus (outer corner of the eye). This oculoplastic surgery should only be performed by surgeons with significant experience with oculoplastic surgery. If performed incorrectly the results can be disastrous. “Canthopexy” is different than canthoplasty. Canthopexy merely reinforces the canthus without cutting; thereby it does not alter the horizontal length of the eyelid and it does not alter the position of canthus.


What Is Canthoplasty Surgery?

Canthoplasty can tighten a saggy, loose lower eyelid. It can also reshape and reposition the lateral canthus. This is especially useful in those patients who have had prior complicated lower eyelid surgery (blepharoplasty) with retracted (pulled down) lower eyelid and rounded canthus and unpleasant “surgical” appearance, who need revisional eyelid surgery. It also treats lower eyelid laxity (ectropion), where the lower eyelid is floppy. Dr Taban uses a minimally invasive approach for canthoplasty and tightening the lower eyelid, which provides better eyelid contour with hidden scars, entitled “Aesthetic Lateral Canthoplasty”.

Canthoplasty may be combined with other eyelid and periocular surgeries, if necessary, such as blepharoplasty, ptosis surgery, brow lift, and midface lift. The surgery is usually done under local anesthesia, with or without intravenous sedation. The recovery usually involves 7-10 of swelling/bruising.

Who Should Perform The Surgery?

When choosing a plastic surgeon to perform canthoplasty, look for an oculoplastic surgeon, with membership in the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), which indicates he or she is not only a board certified ophthalmologist who knows the anatomy and structure of the eyelids and orbit, but also has had extensive training in ophthalmic plastic reconstructive and cosmetic surgery.

Video selfie of a happy transgender woman who underwent almond eye surgery with lower eyelid retraction surgery and canthoplasty, customized infraorbital rim silicone implant, customized orbital decompression, and upper eyelid filler.

Canthoplasty vs Canthopexy?

A canthoplasty is more focused on the corner of the eye where the eyelids meet. It’s normally more invasive as their has to be cutting of the muscle. Alternatively, a canthopexy is less invasive and mostly involves sutures to tighten and stabilize the tendons and muscles of the eye. There’s no muscles that are cut in this procedure. Many times a canthopexy is performed in conjunction with a blepharoplasty or other procedures.

Toys depicting exaggerated difference between round and almond eyes.

Read Article Published by Los Angeles’ Dr. Taban about Lateral Canthoplasty


Canthal Reconstructive Procedure Recovery

Recovery varies from patient to patient. Bruising/swelling lasts around 10 days.  The patient can resume normal activities around the same time although complete healing takes weeks to few months to appreciate final results.

Before & After Photos

*See disclaimer below
Woman who was unhappy about her eye shape and eye asymmetry, underwent eye plastic surgery including cosmetic bulging eye orbital decompression, infraorbital rim silicone implant, lower eyelid retraction surgery with canthoplasty, right upper blepharoplasty and left upper eyelid filler injection. Note more almond shaped and symmetric eye appearance in the after photo taken 1 month after almond eye surgery.
Before (left) and 3-months after (right) quad-blepharoplasty , canthoplasty, ptosis treatment.
Before (left) Middle age woman with multiple prior eyelid surgeries and blepharoplasty, resulting in right lateral canthal angle distortion and lowering, unnatural right lower eyelid contour, and droopy upper eyelid. After (right) 2 months after revisional eyelid treatment, right canthoplasty, right lower eyelid retraction surgery (internal, with midface lift, without graft) and bottom eye crease contour surgery. Fat injection in upper eyelids.
18 year old young man, with congenital droopy lower eyelids with negative canthal tilt and droopy upper eyelids (ptosis), looking sad and tired, underwent lower eyelid retraction surgery with canthoplasty and scarless droopy upper eyelid ptosis surgery. Before and 3 months after eye plastic surgery photos are shown.
Before (left) and 3-months after (right) bilateral lower eyelid retraction surgery, with midface lift, canthoplasty.
86 year old female, with significant eye irritation from previous canthoplasty, underwent revision right canthoplasty. Before and 3 months after surgery photos are shown.
18 year old male, with congenital lower eyelid retraction with negative canthal tilt and droopy upper eyelids (ptosis) underwent almond eye surgery including lower eyelid retraction surgery (with internal alloderm spacer graft), canthoplasty, and upper eyelid ptosis surgery. Before and 3 months after cosmetic eye transforming surgery photos are shown.
38 year old male, with lower eyelid retraction due to previous lower blepharoplasty (by another surgeon), underwent lower eyelid retraction surgery (with alloderm spacer graft), canthoplasty, and tear trough (orbital rim) implant placement. Before and 6 months after surgery results are shown. You can see his written testimonial on realself
Young transgender female underwent eye reshaping surgery to have less bulging and more uptured almond eyes. Procedure included scarless orbital decompression, lower eyelid retraction surgery with canthoplasty (almond eye surgery), and customized infraorbital rim silicone implant.

Read Dr. Taban’s article about Lower Eyelid Retraction Surgery without Internal Spacer Graft.


Read about Dr. Taban’s Englove Approach for Eyelid Retraction Surgery

*Disclaimer: Results vary from patient to patient. Results are not guaranteed.
Dr. Ray Taban is literally a miracle worker. Let me preface this review by saying I have extensive knowledge of soft tissue surgery and oral/maxillofacial surgery. … I know of many occuloplastic surgeons, maxillofacial surgeons, implant specialists, craniofacial surgeons, and so on. When it comes to the periorbital region (everything around the eyes) he IS the best in the world. … What Taban did was unbelievable. Through canthoplasty, tear trough implants (on the orbital rim), lower lid retraction, orbital decompression, and slight lowering of the upper eyelid (on the left eye), I now have hooded eyes (intended), a extreme sweeping effect, a high lateral canthus position, and a lower lid so high that it likely won’t descend for decades (and it looks great as well) … he has performed beyond expectation, … I look so amazing I do not want anyone to know this was the result of surgery. I can live my life in bliss …
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April 2017 Read More Reviews
Dr Taban is a miracle worker with Almond Eye Surgery and Ptosis Repair. … I honestly cannot express enough gratitude to Dr. Taban for the miracle he pulled off with my eyes. … He is the only one you should ever entrust your eyes to for any procedure involving the eyes. … He is very humble and does not like over promising, but he certainly over delivers! … Almost 2 months later, my results are truly extraordinary and the scars on the side are not very visible at all. … My hope is that everyone who needs help can be helped by Dr. Taban.


Feb 2017 Read More Reviews
I am a 25 year old male who went to Dr. Taban seeking cosmetic improvement of my eyes and midface. My lower eyelids were fairly droopy …with lots of “scleral show”. … I decided to proceed with orbital/malar implants w/midface lift, and raising of the lower eyelids through his retractor “lysis” and graft method. … The aesthetic improvement my face attained is profound. …
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