Jules Stein Eye Institute
UCLA School of Medicine
100 Stein Plaza
Los Angeles, CA 90095-7006
THE LOWER eyelid and canthus is a challenging area for aesthetic and reconstructive surgeons. In my referral practice, I see many patients with aesthetic and functional problems following lower (lid) blepharoplasty. Often the blepharoplasty has been performed by qualified surgeons, using standard techniques described in textbooks. Not infrequently, these patients have had 1, 2, or even more canthopexy procedures, again by good surgeons using standard techniques, but unfortunately without improvement and sometimes with further worsening (Figure 1). Sometimes I can help them, but sometimes I cannot; there is a subset of unhappy patients who have undergone multiple operations to treat problems after blepharoplasty who I believe are simply untreatable with current technology. My experience has given me an appreciation for the complexities and potential pitfalls of lower eyelid surgery, thereby motivating me to gain understanding of the factors that lead to success and failure in both primary and reoperative lower blepharoplasty.
Goldberg RA. Review of Prophylactic Lateral Canthopexy in Lower Blepharoplasties. Arch Facial Plast Surg. 2003;5(3):272-275. doi:10.1001/archfaci.5.3.272