Canthopexy and Canthoplasty: Reshape and Lift the Eye Corners

Canthopexy and canthoplasty are procedures that address the position and shape of the outer corner of the eye (lateral canthus). These procedures can lift downturned eye corners, create a more almond-shaped eye, correct lower eyelid laxity, and prevent or treat the "sad eye" appearance caused by aging or genetic factors.

Canthopexy vs. Canthoplasty

Canthopexy is a less invasive procedure that tightens and repositions the existing lateral canthal tendon without cutting it — effectively reinforcing the outer corner of the eye. It is often performed prophylactically during lower blepharoplasty to prevent rounding of the eye shape after surgery. Canthoplasty is a more extensive reconstruction that involves cutting and reattaching the lateral canthal tendon to reshape or reposition the outer eye corner more dramatically.

Who Is a Candidate?

• Patients with downturned outer eye corners creating a sad or droopy expression
• Individuals seeking a more almond-shaped or lifted eye
• Patients with lower eyelid laxity or ectropion (outward-turning lower eyelid)
• Those who want a subtle eye shape change without double eyelid surgery
• Patients undergoing lower blepharoplasty who require additional support

Procedure and Recovery

Both procedures are performed under local anesthesia, often in combination with other eyelid or facial procedures. The canthopexy takes approximately 30 minutes; canthoplasty may take slightly longer. Recovery involves mild swelling and bruising for 1–2 weeks. Final results — a lifted, more defined outer eye corner — become apparent within 4–6 weeks.