October 19, 2010

What is the difference between canthoplasty and canthopexy?

For those seeking improvement of the overall face, and more specifically their eyes, don’t neglect the significance of the canthus or canthal angle.  The inner and outer canthal angles are the corner of the eyes, and problems with the canthus can lead to a number of aesthetic concerns, like baggy eyelids, drooping eyelids, and eyelid asymmetry.  Effective treatment of the canthus can help you to look brighter, younger, and more open to social interactions.

Treatment Options for the Canthal Angle

There are different approaches to correcting problems with the canthus, and the treatment you get should be individualized for your needs.  Only a highly skilled surgeon who specializes in oculofacial plastic surgery and has the technical skill and artistic eye should perform this procedure, as the revisions must be made with precise control of the contour’s shape and position.

Canthopexy Basics

The canthopexy is a shortcut procedure in which a supportive suture is used to cinch the lower eyelid, reinforcing the eyelid’s position.  There are also more elaborate ways to accomplish this such as with a coronocanthopexy.  The aim here is to tighten the outer corner of the eyelid (more technically called the lateral canthal tendon) without actually taking it apart surgically.  The problem with these procedures is that they do not provide the posterior vector of support that is needed to correct many lower eyelid issues.

Given the concerns with this procedure, why do some still use this shortcut?  The main reason is that many surgeons who do cosmetic eyelid surgery are not fellowship trained in eyelid surgery.  They actually lack the training and experience to perform this technical procedure.

Canthoplasty: Definitive Treatment for the Eyelid Corner

The canthoplasty, on the other hand, is the definitive procedure for reforming the outer corner of the eyelids.  This procedure is often used as part of other eyelid surgeries and is a better option for tightening the lower eyelid.  Here the lateral canthal angle is used as a point of entry to perform other procedures from behind the eyelid so that scarring is not visible, and the angle too is corrected surgically.  At this time your doctor can precisely control how tight the eyelid will be as well as where the lateral canthal angle is positioned.  A qualified eye plastic surgeon will be able to perform this procedure readily, while a generalist typically doesn’t possess the kind of specialized knowledge needed to create a symmetric, aesthetically pleasing outcome.

Correcting Prior Canthal Surgery

With the proliferation of surgeons attempting canthal surgery without the appropriate training, skill and experience, there is a recent epidemic of unsatisfactory results from these shortcut procedures.  The good news is that virtually all of these can be improved with revisonal surgery by an experienced eyelid specialist like Dr. Steinsapir.

Seek Treatment with the Best

If you are seeking canthal surgery or would just like to learn more about whether it may be a good solution for your concerns, we invite you to a no-risk consultation with Dr. Steinsapir, a cosmetic eyelid surgeon in Los Angeles.  Dr. Steinsapir is a caring physician who attended medical school at UCLA, trained in ophthalmology at The University of Chicago, then completed a two-year fellowship in orbital surgery at the UCLA’s renowned Jules Stein Eye Institute, where he also completed a one-year fellowship in oculofacial plastic surgery.  Following this is also did a cosmetic surgery fellowship in Rancho Mirage.  He is now a leader in the field of eyelid surgery, providing minimally invasive solutions with the goal of achieving a balanced, natural result.  Please contact us today to learn more.

June 30, 2010

Fixing Canthal Surgery

When you have had a disappointing eyelid surgery experience, it can be challenging to trust a new doctor and make the decision to pursue revisional eyelid surgery.  At the same time, it is difficult to live with unsatisfactory or disfiguring results.  If you are considering having revisional lateral canthal surgery, here are a few items for you to think about before you make a final decision.

Canthoplasty Before and After

Before and After Midface Surgery with Canthoplasty

No surgery is without some risks.  However doing your home work to research the best doctors who specializes in oculoplastic surgery, maintains a faculty appointment at a University Hospital, and actively writes and lectures other surgeons, it is more likely that you will get a satisfactory result compared to surgeons who dabble in eyelid surgery.  There is always a risk that the outcome of surgery may be disappointing.  Open communication, minimizes the risk of misunderstanding that can lead to disappointment.  Dr. Steinsapir is a high trained eyelid plastic surgeon, a Clinical Associate Professor of Ophthalmology in the Division of Ophthalmic Plastic and Reconstructive Surgery at the UCLA School of Medicine.  He devotes a significant portion of his practice to addressing unsatisfactory surgery.  Patients fly in to see him from all over the world and the country.

Then Benefits of Canthoplasty

The canthus refers to the inner and outer corners of the eyes.  Canthoplasty and canthopexy are two surgeries that may be indicated for a number of eyelid concerns, including drooping and baggy eyelids.  A canthoplasty can serve to tighten the lower eyelids and is frequently a part of other treatment plans.  There are many benefits of canthoplasty, including access to perform procedures from behind the eyelid so that scarring is not visible.  Your surgeon can control how much to tighten the canthal angle, as well as the best way to position it.  Further, you can have your canthoplasty performed on an outpatient basis under light sedation, which is safer and enables faster recovery time.  While a specialized eye plastic surgeon finds a canthoplasty well within his skill set and can make your results symmetrical, a non-specialist may struggle with this procedure.

How to Correct Your Canthoplasty Results

There is no doctor who can specialize in every medical procedure, no matter how great he or she is.  That’s why when it comes to repairing your canthoplasty results, needing a new physician to help does not necessarily reflect poorly on your first physician.  An experienced doctor can help you achieve better results after your initial surgery, and in many cases this may be your original surgeon.  In other cases, you may wish to have an eyelid expert who specializes in fixing eyelid surgery examine you.  If you make a hasty decision, you could end up making your concern worse, which is why it’s very important that you take the time to find a doctor who focuses his or her practice to helping situations like yours.

Most often, the surgeon who performs the revisions will need to control the eyelid shape with grafted material, then reconstruct the canthal angle through a carefully planned canthoplasty.  Precise control in the position and shape of the contour here is the key to what will improve your appearance.  Depending on your situation, other reconstructive steps may be indicated.  The only way to know for sure is to ask questions at an individual consultation where your doctor will talk with you and give you an examination to determine your needs and the best approach. Many new patients are socked by the level of detail that characterize Dr. Steinsapir’s approach but this reflects his level of expertise and is the reason why he can often help situations that have frustrated the best efforts of well known or even world famous surgeons.

Consult with a Caring Expert: Dr. Steinsapir Can Help

If you have serious concerns about your canthal surgery results, you need to seek help.  While you may need some more months of healing before revisional surgery is performed, it’s a good idea to get a consultation today to find out the best time to undergo corrections, if any are needed.  In many cases you may just need more time to heal, in other cases your original surgeon can help you, and still at other times you may have a serious need for a new specialist.

As a highly trained and experienced oculoplastic surgeon in Los Angeles who emphasizes correctional eyelid surgery in his practices, Dr. Steinsapir frequently provides second opinions to those who are concerned about a prior surgery.  He can give you advice regarding your best options, sometimes restoring your relationship with your original surgeon, and Dr. Steinsapir can perform revisional surgery in cases where your needs exceed the technical skills of your first doctor and corrections are needed.  Please call us today for a no-risk consultation with Dr. Steinsapir to find out how expert care combined with genuine care for your situation can improve your results today.