Lower Eyelid Malposition - Lateral Canthal Suspension Canthopexy

The lateral canthal suspension canthopexy focuses on reinforcing the existing tendon of the lower eyelid by surgically stitching it to create extra support. This helps to reduce the risk of complications related to a lower blepharoplasty, especially in patients who are already experiencing several age-related symptoms.

Lower Eyelid Malposition - Lateral Canthal Suspension Canthopexy Overview - Everything You Need to Know

The Skinny

Lower Eyelid Malposition - Lateral Canthal Suspension Canthopexy
avg. recovery
1 weeks
Surgical Procedure
$1500 - $5000

About the Procedure

Last Updated: 07.27.2021

A lateral canthal suspension canthopexy is typically performed to correct complications from a lower eyelid blepharoplasty procedure. When a lower eyelid blepharoplasty is performed via a transcutaneous approach, a portion of skin will be removed to fix facial skin laxity. If too much skin is removed, the patient may experience ectropion which causes the eyelid to roll outwards and increase scleral show. This condition can cause the patient discomfort, dry eyes, and excessive tearing. If the ectropion cannot be corrected with steroid injection and massage therapy, a surgical approach will be necessary. A lateral canthal suspension canthopexy procedure begins by first making two incisions – one on the upper eye just below the outer 2/3 of the eyelashes, and the other a skin-flap only incision on the lower lid. The upper incision exposes the orbital bone which facilitates passing the sutures directly next to the eye in the lining of the bone. These sutures are tied once the they have been adjusted to a desired tautness. If no skin is removed during surgery, the incision is much smaller. This method fully preserves the orbicularis muscle.

The goal of a lateral canthal suspension canthopexy is to elevate the lower eyelid for better vision and cosmetic appearance.


Lower Eyelid Malposition - Lateral Canthal Suspension Canthopexy addresses concerns such as:

Recovery Notes

Following surgery most patients will experience swelling around the eye as well as on the actual eye surface. The eye may appear red temporarily. Swelling, bruising, and discoloration typically resolves after 1-2 weeks. Cool compresses may be used to reduce swelling. Keep head in an elevated position while sleeping.

Ideal Candidate

The ideal candidate for lateral canthal suspension canthopexy has mild to moderate eyelid drooping or palpebral ectropion.

Not Recommended For

Lateral canthal suspension canthopexy is not recommended for patients with severe ectropion or lower eyelid laxity and would benefit from a more invasive procedure such as a canthoplasty.

Side Effects

Side effects from lateral canthal suspension canthopexy may include rounding of the outer corner of the eyelids, recurrent sagging of the lower eyelid or incomplete improvement, visible scars, dry eyes, tearing, pulling down of the lower eyelid or eyelid retraction, and eyelid asymmetry.


  • Eyelid tightening
  • Reinforcement of the eye muscle
  • Reduction in the amount of skin removed


  • Asymmetry
  • When performed aggressively a windswept appearance
  • when performed aggressively a hollowed appearance

We’ve done the homework.
Your trusted source for aesthetic solutions, "try it on" now.

Download our 3D Aesthetic Simulator App
App store icon