Lateral Canthal Management in Esthetic Blepharoplasty, an Update

Abstract

Esthetic blepharoplasty is a commonly performed facial cosmetic surgery aimed at enhancing the periocular region by reducing excess skin, fat, or muscle in the eyelids. However, this procedure carries the risk of altering the canthal position and several other complications. The lateral canthus position significantly influences a patient's esthetic outcome. A balanced canthal position is vital for maintaining natural eyelid contour and preventing issues such as ectropion or scleral show. This article outlines management of the lateral canthus during blepharoplasty, covering relevant anatomy, surgical planning, and techniques to address laxity or malposition.

Keywords: Canthopexy; Canthoplasty; Ectropion; Esthetic blepharoplasty; Lateral canthal management; Lateral canthus.