Cantopexy or Cantoplasty: When and Which Technique to Choose for a Natural Look?

Cantopexy, cantoplasty, or external tissue tightening: when is it indicated and which technique should be chosen? No one wants an unnatural result or an overly "pulled" eye. But when is cantopexy truly necessary?

This procedure is recommended when the outer corner of the eye is lower than the one near the nose, causing the gaze to appear "drooping" and revealing some white below the eye.

Cantopexy involves lifting the outer corner upward and outward. The tissues remain intact but are lifted and stretched, and the lower eyelid is slightly raised.

There is also a variation that stretches only the external tissues without touching the eye, offering a natural effect. This is often performed endoscopically to release and stretch the entire area. The eye slit remains the same but slightly elongated. Cantoplasty, on the other hand, is reserved for more complex and advanced cases. In the aesthetic field, my preference is for cantopexy or simple external tissue tightening.

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