The lateral canthopexy described here is a modification of the Hamra transcanthal canthopexy. In our modification, a needle is used to access the lateral retinaculum and direct canthopexy suture placement. It is a minimally invasive technique that is simple to perform, especially in the hands of a novice blepharoplasty surgeon. An advantage of this technique is absolute assurance of capturing the lateral canthal tendon. Extensive dissection to identify the tendon is not required, which limits operative time and postoperative edema. Furthermore, recreation of the lateral retinaculum and canthal angle as in canthoplasty (cantholysis) techniques is obviated. With this minimally invasive technique, results have been excellent, with few complications.
The authors have no financial interest to declare in relation to the content of this article.
Mort Rizvi, M.D.
Michael Lypka, M.D., D.M.D.
Mark Gaon, M.D.
Bradley Eisemann, B.A.
Michael Eisemann, M.D.
Michael Lypka, M.D., D.M.D.
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