What is a Canthopexy?

The Canthopexy is a surgical procedure aimed at strengthening the tissue located on the lateral side of the eyelid to achieve a more juvenile and relaxed appearance on the face and look.

Am I a good candidate?

Good candidates are those patients who have healthy facial tissue and muscles; apart from that, they must have realistic goals to rejuvenate their faces. It is very important that the patient is in good health; that is to say that the patient cannot suffer from any disease that may compromise the healing process or risk the patient’s life. It is also advisable that the patient is a non-smoker.


What does the surgery consist of?

After the patient has had the consults with Dr. Robles and the doctor has deemed that the surgery is needed, the patient will be ready to go into the operating room. Once in there, the doctor will mark the areas that will be treated and he will also take pictures of them. The pictures will be useful to assess the results of the surgery. Once this is done the patient will be locally anesthetized and sedated to begin with the surgery.

Dr. Robles will place scissors on the outer joint of the upper and lower eyelids. This is done to perform a fine cut on the side of the eye towards the edge of the orbital bone. The lower half of the lateral canthal tendon which goes from the edge of the orbital bone to the lower eyelid is isolated and cut, to separate it from the bone. An incision will be done on the side of the eyelid very close to the cut tendon, the tarsus is cleaned up, clearing the conjunctiva and the skin attached. This will create a small structure that will be used to make a new, more stretched tendon. A non-absorbable suture will be used to stitch the structure to the periosteum.

Are there other options?

On of the alternatives is using botulinum toxin. By infiltrating this substance, a temporary lift could be done, which would last for a few months.

How is the recovery from the surgery?

Once the surgery is completed, the wounds will be cleaned and bandages will cover the area of the intervention to minimize the swelling and speed up the healing process. During this process, bruises or hematomas may appear in the area, as well as a discomfort feeling, especially on the incision lines. Even though these signs are perfectly normal after a surgery, Dr. Robles will prescribe some medication to alleviate the initial ailments. Some facial movements will be restricted because of the stitches and the usual discomfort caused by the surgery, but everything will be temporary.

Initial healing will take between 5 and 10 days, and at that moment the stitches will be removed, if it were necessary. Once this is done, you will be able, and encouraged, to retake your job, as long as it doesn’t imply any vigorous effort. Still, some hematomas or bruises will be seen, but they can easily be hidden with makeup.

The healing process will continue for several weeks as the swelling disappears and the incision lines turn finer. You must always bear in mind that using sun block is mandatory until healing finishes. By following all the instructions given by Dr. Robles and going to every checkup you are asked to, you will recover quickly and obtain the results you were looking for.

Which are the risks of the surgery?

The risks associated to this type of procedure are those related to infections, bleeding, hematomas, blood clots, facial asymmetries, loss of hair in the areas treated, irregular scarring and the risks associated to using anesthesia.

What do I need to get the surgery done?

After all the details have been confirmed with Dr. Robles, you will be given some documents related to the procedure. There, you will find the informed consent for the surgery, which is a written statement that you’ve been fully informed of the surgery you are about to be practiced, as well as the risks involved. You will also be given a sworn statement of your medical history. Both must be read and filled when they are given to you, however you’ll sing them the day of the surgery on Clínica Robles.

In order to assure your safety and to be certain that the surgery will go without any complications, Dr. Robles will perform some routine pre-surgical tests, including blood tests, ECG, surgical risk tests, and whenever necessary an ultrasound scan.

It is of the utmost importance that you have all of the medication and other elements that Dr. Robles had asked you in previous consults. A fast recovery will depend on that. Medication varies according to the type of treatment or your medical history. This is why that information must be the trustworthy.