The Spectrum of Aesthetic Canthal Suspension - 24/04/21

Doi : 10.1016/j.fsc.2021.01.005

Yao Wang, MD ^a,^b, John B. Holds, MD ^c, Raymond S. Douglas, MD, PhD ^a,^b, Guy G. Massry, MD ^a,^b,^d,^⁎
^a Beverly Hills Ophthalmic Plastic and Reconstructive Surgery, 150 North Robertson Boulevard #314, Beverly Hills, CA 90211, USA
^b Department of Plastic Surgery, Division of Oculoplastic Surgery, Cedars Sinai Medical Center, Los Angeles, CA, USA
^c Ophthalmic Plastic and Cosmetic Surgery, Inc., 12990 Manchester Road, #102, St. Louis, MO 63131, USA
^d Department of Ophthalmology, Division of Oculoplastic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

^∗Corresponding author.

Résumé

Aesthetic canthal suspension can be an effective adjunct to lower eyelid blepharoplasty. Understanding the anatomy and function of the lateral canthal tendon is critical for preoperative evaluation and surgical decision making. In this article, the authors discuss the lateral canthal terminology, anatomy, and aging changes. Various canthal suspension procedures, including open and closed canthal suspension, commissure sparing open canthoplasty, and canthopexy, are described. Finally, the preoperative evaluation, postoperative course, and complications of surgery are reviewed.

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Keywords : Canthal suspension, Canthoplasty, Canthopexy, Lower blepharoplasty, Lower-eyelid retraction