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Lateral canthoplasty plastic surgery is a procedure designed to correct drooping, sagging, and bagginess of the lower eyelids. As people age, their skin becomes significantly less elastic, which contributes to drooping of the lower eyelids and under-eye bags. Sagging skin on the lower lid is usually the result of aging and sun exposure, but some individuals develop bags under their eyes at a relatively young age. The result is an older, tired-looking face. Canthoplasty can remove the under-eye bags and refresh and rejuvenate the face.

This is an extremely technical procedure and takes very special expertise to accurately identify the nature of the eyelid corner droop and any associated features. Dr. Romano is artistically experienced in this surgical treatment and his results produce a refreshed and rejuvenated face.

Dr. Romano Explains

The usual comment I hear from patients who come to me concerned about a certain eye and eyelid shape is that they have undergone several surgeries and they just cannot figure out why “something just does not look right” and that they have a sad or “hound dog” look. These are the hallmarks of a drooping outer corner of the eyelids, which is a perfectly good reason to want improvement in this elusive yet very noticeable feature. I know how this is frustrating to my patients, and I can help you with this issue.

The anatomy of the eyelids is understandably complex. There are an extraordinary number of small anatomic features all packed into a small space that must function perfectly; otherwise, as little as one millimeter can make the difference between perfect and horrible. The outer corner of the eye is in this category. The tendons of the upper and lower eyelids course along beneath the eyelashes and unite in a common tendon on the side that connects to the bone of the eye socket. If this tendon is stretched or connected too low, the eyelid looks sad and droopy. This is intimately associated with your other eyelid features, so there are many different anatomic features that must be addressed prior to your surgery. I will coordinate the features of your anatomy with your expectations, formulate a plan with you, and guide you through this process. There is a very specific technique to tighten, elevate, and reconnect this tendon at the bony edge of the eye socket, and this procedure cures the problem. Surgery involves a relatively short procedure under a light general anesthetic and is performed where I do surgery, which is in a hospital setting. The surgery is safe and predictable. All of the stitches are dissolvable, and you can return to work in as little as one to two days and to some physical exercise within the first week.

To learn more you can also review an article on periorbital rejuvenation in the Educational Articles section of the website.

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