The Golden Time to Correct Failed Eye Corners? Essential Checklist for Lateral & Lower Canthoplasty Revision

Revision of Lateral, Lower, and Medial Canthoplasty

Hello, I am the director of 21 Plastic Surgery.

| Revision surgery for lateral and lower canthoplasty may be considered when re-adhesion, scarring, asymmetry, overcorrection, or other issues remain after procedures to widen the outer corner of the eye (lateral canthoplasty) or lower it (lower canthoplasty). |

This article summarizes when revision surgery may be needed, the timing, methods, and recovery process.

What Are Lateral and Lower Canthoplasty?

Lateral canthoplasty is a surgery that improves the size and shape of the eyes by making an incision at the outer corner to widen the horizontal eye opening.

It may be helpful when the eyes are short horizontally, such as with narrow-looking eyes, or when the outer corners appear raised.

Lower canthoplasty slightly lowers the outer corners of the eyes to soften an intense, sharp-looking appearance and create a calmer impression.

However, pulling only the skin can cause ectropion, in which the eyelid turns outward.

Therefore, the procedure should be performed by accurately fixing the tarsal plate to the fascia and periosteum.

If the tissues are pulled excessively, scleral show may occur, making the eyes appear older, so a thorough consultation is necessary.

Because both procedures involve thin, sensitive skin and mucous membranes around the eyes, outcomes such as re-adhesion, excessive scar formation, and asymmetry may occur depending on the individual’s tissue condition.

When Should Revision of Lateral or Lower Canthoplasty Be Considered?

If any of the following conditions remain 6 months to 1 year after the initial surgery, revision surgery may be considered.

• Re-adhesion has occurred and the outer corners of the eyes have attached again

• Scarring or a prominent red line is visible at the incision site

• The length or shape of the eyes differs from side to side

• The eyes look unnatural because of a drooping appearance or overcorrection

When Can Revision of Lateral or Lower Canthoplasty Be Performed?

Revision surgery is not necessarily better when performed sooner.

It is generally performed after the tissues have stabilized sufficiently.

It is usually carried out at least 6 months after the initial surgery, and an initial consultation to reassess the previous scars and eyelid structure is important.

Revision Methods by Procedure

The approach for revision varies depending on the cause, such as re-adhesion, overcorrection, or drooping, and on whether the previous procedure was lateral or lower canthoplasty.

The exact method is determined after reviewing the individual’s eye condition and previous surgical records, so it is important to make the decision through a diagnosis.

Revision surgery can become more difficult because of tissue adhesions or scar tissue, making a detailed diagnosis necessary.

21성형외과 establishes a revision plan based on each individual’s eye condition and previous surgical records.

Before revision surgery, it is advisable to check the following together.

• The incision direction and suturing method used in the initial surgery

• The current condition of the mucous membrane and conjunctiva at the outer corners of the eyes

• The degree of asymmetry between the eyes

• The degree of overcorrection resulting from recurrence after lower canthoplasty

After surgery, care according to the instructions, such as applying cold compresses and antibiotic ointment, as well as regular follow-up observations, is necessary.

All surgeries involve individual differences, so a thorough consultation is necessary.

Revision of lateral or lower canthoplasty is an option for correcting issues such as re-adhesion, scarring, and asymmetry.

It is important to proceed with the surgery after a detailed diagnosis once the tissues have stabilized.

If you are considering revision surgery, we recommend consulting 21성형외과 about the condition of your eyes.

Thank you^^

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