Lower Eyelid Malposition - Lateral Tarsal Strip Canthoplasty

The lateral tarsal strip canthoplasty improves many lid malpositions. It is used to correct retraction (cicatricial or involutional) and ectropion. It is also a champion technique for elevation and tightening of the eyelid. It can be performed as a sole procedure or in conjunction with a midface lift. Although most canthoplasties can produce eyelid tightening, tarsal suspension allows elevation, retroplacement, and tightening even if the eyelid is under inferior-based tension.

Lower Eyelid Malposition - Lateral Tarsal Strip Canthoplasty

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The Skinny


Average Recovery

7 weeks

Permanence

Temporary

Application

Surgical Procedure

Surgical

Yes

Cost

$1000 - $1500

The Specifics


What is a lower eyelid malposition - lateral tarsal strip canthoplasty procedure?

A lower eyelid malposition - lateral tarsal strip canthoplasty procedure is an oculoplastic surgical procedure targeting the lower eyelids for correction of various eyelid positions and aesthetic concerns. Abnormal eyelid position (eyelid malposition), eyelid retraction, eyelid ptosis, poor eyelid closure, and lower eyelid drooping/sagging can all be corrected through a lateral tarsal strip canthoplasty procedure.

The Anatomy of the Eye

Eye Anatomy Close-Up Photo

Certain medical conditions can cause eye conditions including: Bell's Palsy, thyroid eye disease, and other lower eyelid abnormalities as the result of paralysis. These can lead to the need for an oculoplastic surgical procedure such as ectropion repair, lower eyelid margin ptosis repair, or other surgical correction to return the lower eyelid to a normal position.

What cosmetic concerns does a lower eyelid malposition - lateral tarsal strip canthoplasty procedure treat?

  1. Sagging & Hooded Eyelids: A Lateral tarsal strip canthoplasty procedure targets the lower eyelid and repositions internal lower eyelid structures to tone, tighten, and reposition the lower eyelid for aesthetic and functional benefits.
  2. Aging & Tired Eyes: Abnormal eyelid position (eyelid malposition), eyelid retraction, eyelid ptosis, and poor eyelid closure can all benefit from the surgical correction of a lateral tarsal strip canthoplasty .

Who is the ideal candidate for a lower eyelid malposition - lateral tarsal strip canthoplasty procedure?

The ideal candidate for a lateral tarsal strip canthoplasty is an older individual with horizontal laxity of the lower eyelids, lengthened eyelids, issues with eyelid closure, eyelid retraction, eyelid ptosis, or those who those who regularly manipulate the under eye ocular surface such as contact lense wearers and those who use eye drops routinely. Lower eyelid malposition - lateral tarsal strip canthoplasty procedure is not recommended for those with a large globe, shallow orbit, or hypoplastic malar eminence (underdeveloped cheekbone below the lower lid and eye area).

What is the average recovery associated with a lower eyelid malposition - lateral tarsal strip canthoplasty procedure?

Most acute bruising, swelling, and tenderness around the lower lids resolves within seven to 10 days. Swelling and bruising can be lessened with ice packs and sleeping in an elevated position. Sutures on the lower eyelid skin are removed after three to five days, and deep sutures around ten days.

Most patients feel comfortable in public after two weeks. In some individuals, swelling of the lower eyelids can persist for up to four months. Full physical activity can be resumed after three weeks. If at one week post op, upper eyelid and lower eyelid asymmetry is noted patients should return to their plastic surgeon for stretching of the lateral tarsal strip.

What are the potential side effects of a lower eyelid malposition - lateral tarsal strip canthoplasty procedure?

Possible side effects of a lateral tarsal strip canthoplasty include persistent discomfort and bruising, recurrence of ectropion (outward turning of the eyelid), development of scar tissue, and granuloma formation.

What can someone expect from the results of a lower eyelid malposition - lateral tarsal strip canthoplasty procedure?

The results of a lateral tarsal strip canthoplasty is an immediately noticeable, but temporary, correction of a sagging, drooping, retracted, or outward turned (ectropion) lower eyelid. The results of the lateral tarsal strip canthoplasty will loosen over time.

What is the average cost of a lower eyelid malposition - lateral tarsal strip canthoplasty procedure?

A lateral tarsal strip canthoplasty plastic surgery procedure can cost anywhere from $1,000 to $1,500. The actual cost of a lateral tarsal strip canthoplasty is dependent upon location, plastic surgeon, and length and involvement of the plastic surgery.

Pros

Eyelid tighteningEyelid elevation

Cons

Not permanentAsymmetry

Invasiveness Score

mildmoderatesevere
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Invasiveness is graded based on factors such as anesthesia practices, incisions, and recovery notes common to this procedure.

What to Expect


The lateral tarsal strip canthoplasty corrects retraction and ectropion by elevating and tightening the eyelid. Here is a quick guide for what to expect before, during, and after a lateral tarsal strip canthoplasty.

The Takeaway


A lower eyelid malposition - lateral tarsal strip canthoplasty procedure is an eyelid surgery designed to correct numerous lower eyelid concerns. Abnormal eyelid position (eyelid malposition), eyelid retraction, eyelid ptosis, poor eyelid closure, and lower eyelid drooping/sagging can be addressed through this oculoplastic surgical procedure. This surgical correction provides temporary improvements to the lower eyelid position and appearance.

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Source List

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AEDIT uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Dailey RA, Wobig JL. Eyelid Anatomy PubMed; 1982-12-01
  2. Harry S Hwang The effect of "single" vs "double" eyelids on the perceived attractiveness of Chinese women PubMed.gov; 2014-03-03
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