Overview
Ligament and lid support structures at the outer corner of the eye play a role in the adaptation of the lower lid to the eye surface. Canthoplasty describes approaches in which these structures are rearranged, and canthopexy describes approaches in which the existing support can be strengthened with stitches. No two procedures are the same, and the choice is not made solely on the desired eye shape. Lower eyelid laxity, eye closure, eye surface and previous surgeries are examined together. It can be added to lower eyelid surgery as support, or it can be evaluated separately in selected cases. Names such as almond eye used on social media are not sufficient to explain the technique to be applied or the result to be achieved.
What is evaluated?
- Examination of lower eyelid laxity, contact between the lid and eye surface, and the current position of the outer corner.
- Evaluation of dry eye, difficulty in closing the eye and previous eyelid surgery.
- Discussing the natural differences between the two eyes and the expected shape change.
Approach and options
- If the existing structures are sufficient, canthopexy, which provides support with stitches, may be considered.
- When more extensive structural adjustment is required, canthoplasty options can be discussed.
- It may be planned to provide support along with lower eyelid surgery or to address eye surface problems first.
Recovery and follow-up
Swelling, tension or temporary shape differences may be observed in the outer eye corner and lids. Care and checks that protect the eye surface are important. Follow the surgeon's instructions for eye rubbing, make-up, and contact lens use. If new vision changes or severe pain develop, immediate evaluation is required.
Risks and limits
- Asymmetry or unexpected shape change in the corner of the eye.
- Deterioration in lid position and inability to close the eye completely.
- Eye dryness, irritation or noticeable scarring.
- Bleeding, infection and rarely complications affecting vision.
The headings here do not cover all risks. Possible benefits, alternatives and personal risks should be discussed in detail during the examination.
You can ask in the consultation
- What do you recommend, canthoplasty or canthopexy and what is its main purpose?
- How will the function of my lower lid be balanced with the look I want?
- Does my previous eyelid surgery change the plan or the risks?
Resources
- ASPS – Differences between canthopexy and canthoplasty ↗
- ASPS – Risks of valve surgery ↗
- ASPS – Care after valve surgery ↗
Access to sources: September 2026. The content has been prepared for general information purposes.