Canthopexy (Eye Lift Surgery)
Starting at $2,995
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Restoring Eye Contours with Canthopexy in Seattle & Tacoma

Drooping lower eyelids can make you appear tired, older, and less vibrant than you feel. As the supporting structures around your eyes weaken with age, the outer corners of your eyes may begin to sag, creating a downturned appearance that affects your entire facial expression. Canthopexy surgery at Seattle Plastic Surgery offers a precise solution to tighten and reposition the lateral canthus, restoring the natural, youthful angle of your eyes while maintaining their authentic shape and character.

Dr. David Santos at Seattle Plastic Surgery uses canthopexy techniques tailored to your unique features. He holds dual board certifications from the American Board of Otolaryngology – Head and Neck Surgery and the American Board of Facial Plastic and Reconstructive Surgery.

Board of Otolaryngology – Head and Neck Surgery and the American Board of Facial Plastic and Reconstructive Surgery.

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    Why Canthopexy May Be Recommended

    Canthopexy may be recommended when changes in eyelid tone or position begin to affect comfort, appearance, or symmetry. The procedure may help address several common concerns, including:

    • Lower eyelid laxity or sagging that causes the lid to pull away from the eye
    • Rounding of the eye shape due to drooping of the outer corner
    • Need for additional support during lower blepharoplasty
    • Age-related descent of the lateral canthal angle
    • Excessive tearing or eye irritation from poor eyelid positioning

    Dr. Santos carefully examines each patient’s eyelid anatomy and unique concerns to determine whether canthopexy is the most appropriate approach.

    What Is Canthopexy Surgery?

    Canthopexy is a specialized eyelid surgery that tightens and reinforces the lateral canthal tendon, the structure supporting the outer corner of your eye. This procedure addresses mild to moderate lower eyelid laxity without removing or cutting the canthal tendon. During canthopexy, your surgeon repositions and secures the existing tendon to create better support for the lower eyelid, preventing or correcting sagging while preserving the natural eye shape.

    The procedure differs from more invasive techniques because it works with your existing anatomy rather than reconstructing it. Canthopexy strengthens the lateral canthal support system through strategic suturing techniques that lift and stabilize the outer corner of the eye. This approach makes it suitable for patients experiencing early signs of eyelid aging or those seeking preventive treatment.

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    The Canthopexy Procedure

    Canthopexy surgery may take around 30 to 60 minutes. Here’s what you can expect:

    • A small incision is made at the outer corner of your eye, often hidden within natural creases or the hairline.
    • The lateral canthal tendon is accessed and carefully tightened using permanent sutures.
    • The tendon is then anchored to the periosteum, the membrane covering the orbital bone, at a slightly elevated position.
    • This creates the desired lift and support without altering the fundamental structure of your eye.

    Canthopexy procedures can be performed under both local and general anesthesia. For patients combining canthopexy with other facial procedures, general anesthesia may be recommended. Your plan will be customized based on your specific needs and the extent of your surgery.

    Is Canthopexy Right for You?

    Deciding if canthopexy is the right option begins with understanding what the procedure can achieve and how it aligns with your individual needs. Every patient’s eyelid anatomy, skin elasticity, and degree of support are unique, so the most suitable approach depends on both your aesthetic goals and functional concerns. While some individuals seek treatment to correct visible sagging or asymmetry, others choose canthopexy proactively to preserve eyelid strength and contour as they age.

    Candidates for canthopexy often notice mild to moderate sagging of the lower eyelids, typically appearing in their 40s or 50s. Younger patients with a genetic tendency toward eyelid laxity may sometimes opt for canthopexy as a preventive measure. The procedure may also be beneficial for addressing some functional concerns.

    Recovery and Results

    Following canthopexy surgery, you can expect mild swelling and bruising around the treatment area. Patients often experience minimal discomfort that typically responds well to prescribed pain medication.

    Initial healing occurs within 7 to 10 days, during which time you should avoid strenuous activities and keep your head elevated while sleeping. Sutures are typically removed after one week. Most patients return to work and normal activities within 10 to 14 days. Complete healing and final results may become apparent after 3 to 6 months as residual swelling resolves and tissues settle into their new position.

    While the procedure cannot stop the natural aging process, the structural reinforcement created during surgery may help maintain results for years. Proper sun protection and skincare is recommended to preserve your surgical outcomes.

    FREQUENTLY ASKED QUESTIONS

    What is a canthopexy?

    Canthopexy is a surgical procedure that tightens and repositions the lateral canthal tendon at the outer corner of the eye. The surgery addresses lower eyelid laxity and sagging by reinforcing the existing support structures without cutting or removing the tendon. This minimally invasive approach lifts and stabilizes the lower eyelid while preserving the natural eye shape.

    What is canthopexy vs canthoplasty?

    Canthopexy tightens the existing lateral canthal tendon through suturing techniques without cutting it, making it less invasive and suitable for mild to moderate laxity. Canthoplasty involves cutting and reconstructing the lateral canthal tendon, providing more dramatic correction for severe eyelid malposition. Canthopexy typically has a shorter recovery time and a lower risk of complications compared to canthoplasty. 

    How to perform canthopexy?

    Canthopexy is performed through a small incision at the outer corner of the eye. The surgeon accesses the lateral canthal tendon and places permanent sutures to tighten and elevate it. The tendon is then secured to the periosteum of the orbital bone at the desired position. The procedure requires a precise technique to achieve natural-looking results without altering eye shape.

    Is canthopexy permanent?

    Canthopexy results can be long-lasting but not entirely permanent. The structural reinforcement created during surgery typically maintains improvement for many years. However, natural aging continues, and some patients may experience gradual relaxation of tissues over time. Most patients enjoy their results for 10 to 15 years or longer with proper care.

    What is the purpose of canthopexy?

    The primary purpose of canthopexy is to correct or prevent lower eyelid sagging and maintain proper eyelid position. The procedure restores youthful eye contours, prevents ectropion development, and improves both aesthetic appearance and eyelid function. Canthopexy also serves as a supportive procedure when combined with other eyelid surgeries.

    Is canthopexy a major surgery?

    Canthopexy is considered a minor to moderate surgical procedure rather than major surgery. The operation typically takes less than an hour, may require only local anesthesia with sedation, and often involves minimal tissue manipulation. Recovery is relatively quick compared to major facial surgeries, as patients may resume normal activities within two weeks.

    Schedule a Consultation

    Your canthopexy procedure will begin with a comprehensive consultation. During this appointment, Dr. Santos will evaluate your eyelid position, skin elasticity, and overall facial structure. You will discuss your aesthetic goals, medical history, and any concerns about the procedure. Call (206) 249-9998 or Contact us today to schedule your consultation and find out if canthopexy is suitable for you.

    STILL HAVE QUESTIONS?

    Give us a call at 206-324-1120.Or, chat by clicking the icon in the lower left hand corner of your screen. Additionally, you can contact us by filling out the form above.