Canthoplasty repair for canthal rounding

Abstract

Background Canthal rounding can occur following trauma or surgery to the medial or lateral canthus, causing possible aesthetic or functional deficits to patients. Several surgical techniques to repair canthal rounding have been described previously. We report a new technique for canthoplasty repair of canthal rounding with the use of illustrative cases. Methods This is a retrospective case series describing the technique using illustrative cases from across three sites (London [UK], Adelaide [Australia], Sydney [Australia]). Twelve patients with post-surgical canthal rounding were included. Information collected for our illustrative cases include patient demographics, diagnosis, complications, outcomes and further treatment. Results There were no peri-or post-operative complications. All except one patient reported good surgical outcomes after one procedure. In one patient there was rounding recurrence. Conclusions Our patients reported excellent outcomes post-operatively without any significant scarring.

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“…It can also occur when the lateral aspect of the upper blepharoplasty incision is taken below the equator of the lateral canthus [26]. Canthal rounding, on the other hand, is a condition in which the medial or lateral canthus is surgically altered, resulting in a rounded fold of skin and scar tissue within the normal canthal angle, resulting in the shortening of the eyelid aperture in the horizontal direction [27].…”

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“…It can also occur when the lateral aspect of the upper blepharoplasty incision is taken below the equator of the lateral canthus [26]. Canthal rounding, on the other hand, is a condition in which the medial or lateral canthus is surgically altered, resulting in a rounded fold of skin and scar tissue within the normal canthal angle, resulting in the shortening of the eyelid aperture in the horizontal direction [27].…”