A Key to Canthopexy: The Tarsal Strap. A Fresh Cadaveric Study

Flowers, Robert S.; Nassif, John; Rubin, Peter A. D.; Hayakawa, Tom; Lehr, Shannon

doi:10.1097/01.prs.0000185998.53701.17

Cited by 19 publications

(6 citation statements)

References 24 publications

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“…Restoration of tone and position of the lateral canthus to provide an intercanthal axis tilt is imperative for returning periorbital structures to their youthful state. 6,7 In addition to having aesthetic importance, the change in the lateral canthal complex position is functionally important, as its changes contribute to lower eyelid laxity, which may result in rounding of the lateral commissure and narrowing of the palpebral fissure.…”

Section: Discussionmentioning

confidence: 99%

Periorbital Aging and Ethnic Considerations: A Focus on the Lateral Canthal Complex

Odunze

Rosenberg

Few

2008

Plastic and Reconstructive Surgery

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Section: Discussionmentioning

confidence: 99%

Periorbital Aging and Ethnic Considerations: A Focus on the Lateral Canthal Complex

Odunze

Rosenberg

Few

2008

Plastic and Reconstructive Surgery

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“…The aesthetic goals of the surgery were: first, making the shape of the newly formed lateral canthus as close to the original triangular look as possible; second, keeping the lateral canthus in contact with the eyeball so that conjunctival prolapse or ectropion should not occur; and third, maintaining the continuity of the lower lid gray line and the new lateral canthus. The functional goals were: first, recovering the dynamic structure that plays the role of sphincter in the lacrimal drainage system [ 5 ]; and second, maintaining the tension of the lower lid's curvature [ 2 6 ]. An effective lateral canthal lengthening not only depends on the distance between the lateral canthus and the lateral orbital rim, but also largely upon the depth of the lateral fornix, which determines the amount of extension.…”

Section: Discussionmentioning

confidence: 99%

Effective Lateral Canthal Lengthening with Triangular Rotation Flap

Kim¹

2016

Arch Plast Surg

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In Korea, lateral canthoplasty, along with medial epicanthoplasty, has become popular over the past years to widen the horizontal length of the palpebral fissure. However, the effect of the surgery differs greatly depending on the shape and structure of the eyes. If over-widened, complications such as eversion, scarring, and conjunctival exposure may occur. Thus, the author of this study suggests a more effective and safe method for lateral canthal lengthening that causes minimal complications. A total of 236 patients underwent lateral canthoplasty between July 2007 and December 2015. For each patient, a triangular flap 4–5 mm away from the lateral canthus was elevated and rotated 45 degrees laterally while the continuity of the lower eyelid gray line was maintained. A new lateral canthus was created by fixating the rotation flap to the lateral orbital rim with minimal skin trimming and tension-free sutures, preventing relapse and maintaining a triangular shape. In more than 95% of cases, effective and satisfactory extension was achieved. On average, a 3 mm extension of the lateral canthus was achieved. There were minor complications such as wound dehiscence, webbing, and scarring, which were easily corrected. The author not only extended the lateral canthus 3–4 mm laterally but also maintained the continuity of the gray line on the lower lid as a more natural-looking triangular shape, while minimizing complications such as webbing and conjunctival exposure.

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“…1A, demonstrates the composite nature of facial aging in an African American woman. As Flowers and others 9,10 have taught us, the periorbital aging process begins at the forehead/brow region. The process begins with forehead redundancy and flattening of the brow apex.…”

Section: Analysis and Surgical Planningmentioning

confidence: 97%

Rejuvenation of the African American Periorbital Area: Dynamic Considerations

Few

2009

Seminars in Plastic Surgery

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The rejuvenation of the African American periorbit is rooted in select modifications of traditional techniques. The African American patient presents with dynamic considerations and needs. Whereas this subset is at risk for pigmentation and scar concerns, the natural resistance to actinic damage makes rejuvenation efforts rewarding. We will review the composite that makes up the periorbit, the brow, upper eyelid, lower eyelid/ lateral canthus, and the midface unique. Specific indications and presurgical and postsurgical considerations will be presented in addition to technical considerations to manage periorbital aging that spares the skin. Common pitfalls and succinct ways to avoid them without compromising on the ultimate end result will be presented. Ultimately, periorbital rejuvenation can be done completely without jeopardizing one's ethnic identity.

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A Key to Canthopexy: The Tarsal Strap. A Fresh Cadaveric Study

Cited by 19 publications

References 24 publications

Periorbital Aging and Ethnic Considerations: A Focus on the Lateral Canthal Complex

Periorbital Aging and Ethnic Considerations: A Focus on the Lateral Canthal Complex

Effective Lateral Canthal Lengthening with Triangular Rotation Flap

Rejuvenation of the African American Periorbital Area: Dynamic Considerations

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