Canthal Surgery

Many congenital and acquired deformities are associated with medial and lateral canthal displacement. Patients with blepharophimosis (telecanthus, epicanthal folds, ptosis), hypertelorism, Down’s Syndrome, craniofacial synostosis, and acquired deformities may all have canthal deformities. Evaluation of the position and shape of the canthal area is a necessity in the planning of all orbital surgery. The contour and position of the canthi are important components in the aesthetic balance and symmetry of the face.


Canthal surgery essentially consists of repositioning the involved canthal tendon to the desired position and securing it to the bone. This would seem to be a simple, straight-forward procedure. However, because of the complex anatomy of the medial canthal area and the difficulty in obtaining normal, symmetrical soft tissue contours, this procedure is neither as easy nor as predictable as it would appear to be. Attention to surgical technique, soft tissue tension and contour, bone mobilization and position, and healing of the tendon to the bone — all are important in the ultimate results of canthal surgery.


Displacement of medial canthi and medial orbit walls due to facial trauma


Medial orbital wall osteotomies and medial canthopexies performed to correct the deformity


Displacement of both medial canthi is present in this patient due to facial trauma


Medial canthopexies are performed to return the medial canthi to their normal position

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American Society of Plastic Surgeons
American Society of Maxiofacial Surgeons
American Society For Aesthetic Plastic Surgery
American Society of Craniofacial Surger
International Society of Craniofacial Surgery
American Associatin of Plastic Surgeons

Sargent Craniofacial Surgery

2290 Ogletree Ave Suite 112

  Chattanooga, Tn 37421   

                423 305-7274                         Fax- 423 206-2826           

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