Lateral canthal repair reconstructs the outer corner of the eyelids to restore support, position, and contour. It is performed after trauma, tumour excision, or complications of previous surgery.
Surgical Aims
The procedure reattaches or tightens the lateral canthal tendon to the orbital rim and reshapes the lid margins. Correct tension and angle help maintain lid apposition to the eye and an attractive almond-shaped fissure.
- Techniques include canthopexy (tightening) and canthoplasty (more extensive reconstruction)
- Precise suture placement prevents rounding or over‑tightening of the outer corner
- Often combined with lower lid tightening or repositioning
- Choice of method depends on laxity, defect size, and cosmetic goals
Post-Operative Course
Swelling, bruising, and temporary tightness are expected. The eye opening may look slightly over‑elevated initially but usually settles.
- Cold compresses and head elevation reduce early swelling
- Follow‑up ensures lid closure is complete and corneal exposure is avoided
- Scars typically hide within natural lines at the outer canthus
- Patients are advised not to rub or pull on the eyelids while healing
