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Hamid Massiha, A Simple Method of Noninvasive Canthopexy During Routine Lower Blepharoplasty, Aesthetic Surgery Journal, Volume 18, Issue 1, January 1998, Pages 25–29, https://doi.org/10.1016/S1090-820X(98)80020-4
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Lower blepharoplasty treats one of the most delicate and sensitive areas in plastic surgery. Often slight weakness, redundancy, or shortness of the lower eyelid will produce unsightly results and an unhappy patient. I tackled this problem about 18 years ago with a split skin-skin muscle flap technique with lateral suspension.1 This technique, in most cases, is adequate in firming the lower lid laxity, which is often preexisting and is worsened by blepharoplasty. For lack of better terminology, this laxity could be called “presenile ectropion” (Figure 1).
In some cases, however, laxity will still occur. During the last 10 years, I have tried a variety of techniques of canthopexy. I have found the techniques presented in this article to be the least invasive; they provide a very effective means of firming up the lower lid margin, not only in its inferior-superior dimension, but also in the anterior-posterior direction, resulting in close contact of eyelid to eyeball.
