Canthoplasty

Canthoplasty surgery, also known as lateral canthoplasty or eyelid lift surgery, is a type of cosmetic procedure usually performed to make the eye bigger and improve the aesthetic appearance of the eye’s region. The definition of these surgeries that refer to the eyelids may sometimes interfere with one another: epicanthoplasty or medial canthoplasty another surgical procedure that enlarges the eye horizontally is performed at the inner corner of the eye, whereas lateral canthoplasty enlarges the outer edge of the eye.

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Medically reviewed by Prof. Zeynep Sevim, Plastic surgery. Written by Abdulaziz Ali.
Updated 21 April 2024 · Editorial standards

Canthoplasty abroad at a glance

starting price, 25 March 2026from €3,000Treatment only
operation1 to 3 hours

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Canthoplasty

Canthoplasty surgery can correct sagging, drooping, or bagginess of the lower eyelids. Some individuals may be born with drooping lower, but the natural aging process can also cause lower eyelid droopiness – the skin becomes less elastic after a certain age, and small bags begin to develop under the lower eyelids. Exposure to the sun may also cause the lower eyelids to sag. This brings a tired expression to the patients' faces. The primary aim of canthoplasty surgery is to remove all the bags under the eye and remove the fatigue on the patient's face and provide a more youthful and fresh expression. This procedure is also known as lower eyelid surgery.

Canthoplasty surgery is recommended for patients who have excessive, sagging, or wrinkled upper or lower eyelid skin. The procedure is also recommended for patients who have puffy pouches of fat in the lower lids that create a tired or aged appearance and have baggy lower eyelids or simply patients who wish to rejuvenate their appearance.

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Patient Story

Canthoplasty surgery, also known as lower eye lift surgery, is not recommended for patients suffering from one or more of the following:

  • Cardiovascular disease
  • Glaucoma
  • Hypertension
  • Diabetes
  • Detached retina
  • Overactive thyroid gland

Smoking can affect blood vessels; thus, it may reduce the blood flow to your eyes. Therefore, it is also advised that patients do not smoke; they ideally need to quit smoking before the surgery.

Apart from quitting smoking, oral supplements, herbal teas, and blood thinners such as aspirin need to be avoided for at least 2 weeks before canthoplasty surgery. Alcohol consumption is prohibited for at least 48 hours before and after the lower eye lift surgery.

Canthoplasty surgery can be performed under local anesthesia with sedation or general anesthesia. Surgeons discuss these options with the patient and decide the most appropriate approach according to the patient's condition.

After anesthesia is applied to the patient, the surgeon begins to mark the incision points. The incisions are usually formed in a bend in the corner of the eye so that the scars can be hidden.

A thin plastic shield is used to protect the patient's eyeball. The canthoplasty operation varies from patient to patient but is usually cut by the lower canthal tendon, repositioned, and tightened to obtain a more pleasant appearance. When the procedure is finished, the plastic shield is removed, and the incisions are carefully closed. Bandages are applied to the area that is operated on to prevent infection.

The canthoplasty surgery recovery period usually lasts around 2 weeks. If normal stitches are used, they will be removed around a week after the procedure. If soluble sutures are used, they do not need to be removed. Approximately one week after the Canthoplasty surgery, patients can return to work and normal activities. Eye drops can be used to keep the eyes moist. Patients will be provided with a special type of gel that can be used to keep the eyes region clean. 

Makeup should be avoided for at least a week after the canthoplasty surgery. Patients can also use cold compresses to help reduce swelling during the canthoplasty recovery time.

Canthoplasty surgery complications can include: 

  • Bleeding
  • Scarring
  • Infection
  • Damage to deeper structures
  • Hematoma
  • Allergic reaction to anesthesia
  • Dry eye problems
  • Asymmetry
  • Canthoplasty revision surgery
  • Canthoplasty surgery side effects can include: 
  • Dry eyes
  • Bruising
  • Increase in sensitivity to light
  • Teary and itching eyes
  • Eyelash Hair Loss
  • Pain
  • Discomfort
  • Allergic reactions
  • Swelling
  • Nausea and vomiting
  • Unsatisfactory results
  • Blurred vision

The average canthoplasty surgery success rate is over 90%.

The procedure’s results are visible immediately. After canthoplasty surgery, patients can enjoy a more youthful, rejuvenated appearance. The patient’s eyes will be bigger, and any droopiness or sagginess will be a thing of the past. These results usually continue between 10 and 15 years. Some patients prefer revision surgery to wipe out the effects of aging during or after this time.

FAQ

Can Canthoplasty Surgery Be Combined with Other Procedures?

Yes, canthoplasty surgery can be combined with blepharoplasty surgery and canthopexy surgery. 

What Is the Difference Between Canthopexy, Blepharoplasty, and Canthoplasty Surgery? 

These procedures are very similar, and all three aim to improve the aesthetics of the eye area. The main difference is the technique used in the surgery. Different methods are better suited to different patients, and it depends on the problem they are facing. 

Can Canthoplasty Surgery Help Me Get Rid of The Dark Circles Under My Eyes?

It may be helpful, but only if dark circles appear as a result of drooping eyelids or eye bags under the eyes. Usually, dark circles under the eyes are caused by pigment problems, and canthoplasty is not a solution.

How many days should I travel/stay abroad to do the treatment?

You can expect to get back to work within 1 week after the surgery. 

Can Canthoplasty Surgery Be Combined with Other Procedures?

Yes, canthoplasty surgery can be combined with blepharoplasty surgery and canthopexy surgery. 

What Is the Difference Between Canthopexy, Blepharoplasty, and Canthoplasty Surgery? 

These procedures are very similar, and all three aim to improve the aesthetics of the eye area. The main difference is the technique used in the surgery. Different methods are better suited to different patients, and it depends on the problem they are facing. 

Can Canthoplasty Surgery Help Me Get Rid of The Dark Circles Under My Eyes?

It may be helpful, but only if dark circles appear as a result of drooping eyelids or eye bags under the eyes. Usually, dark circles under the eyes are caused by pigment problems, and canthoplasty is not a solution.

How many days should I travel/stay abroad to do the treatment?

You can expect to get back to work within 1 week after the surgery. 

About this page

Written by Abdulaziz Ali, Leading Medical Writer & Strategist at Flymedi. Medically reviewed by Prof. Zeynep Sevim, Plastic surgery. Content updated 21 April 2024. Next scheduled review 21 April 2025.

This page is general information, not personal medical advice. It does not diagnose you and it does not replace an individual assessment by a doctor who has examined you.

Found something wrong or out of date on this page? Tell us and we will check it. Editorial standards and reviewer list: authors and reviewers.

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