21282 Lateral canthopexy

Name of the Procedure:

Lateral Canthopexy

Summary

Lateral canthopexy is a surgical procedure focused on tightening and stabilizing the outer corner of the eyelid. It is often performed to enhance eyelid function and appearance, particularly for patients experiencing sagging or drooping eyelids.

Purpose

The procedure aims to correct eyelid malposition such as sagging or drooping, known as eyelid ptosis. It restores the natural contour and function of the eyelid, improving both vision and cosmetic appearance.

Indications

• Eyelid laxity or sagging
• Eyelid malposition (e.g., lower eyelid retraction)
• Cosmetic desire for a more youthful eyelid appearance
• Functional problems with blinking or eye closure

Preparation

• Patients may be advised to stop taking blood-thinning medications a week before surgery.
• Fasting might be required if general anesthesia is used.
• Preoperative assessments may include a comprehensive eye exam and photographs to record the eyelid's appearance.

Procedure Description

1. Anesthesia: Administered local anesthesia with sedation or general anesthesia based on the patient's needs.
2. Incision: A small incision is made at the outer corner of the eyelid.
3. Tightening: The surgeon adjusts the lateral canthal tendon and tightens it to the desired tension.
4. Closure: The incision is closed with fine sutures, which are often absorbable to minimize scarring.
5. Dressings: The eyelid is then dressed appropriately to protect the surgical site.

Duration

The procedure typically takes between 30 minutes to 1 hour.

Setting

Lateral canthopexy is usually performed in a hospital operating room, a surgical center, or an outpatient clinic with appropriate surgical facilities.

Personnel

• Ophthalmic or plastic surgeon
• Surgical nurse
• Anesthesiologist (if general anesthesia is used)

Risks and Complications

• Infection
• Bleeding
• Swelling or bruising
• Scarring
• Asymmetry of the eyelids
• Rarely, vision changes or prolonged discomfort Management typically includes antibiotics for infection and careful monitoring for any adverse effects.

Benefits

• Improved eyelid function and contour
• Enhanced cosmetic appearance
• Increased comfort and better eye protection
• Benefits are typically observed within a few weeks post-procedure.

Recovery

• Patients are advised to rest and avoid strenuous activities for at least one week.
• Cold compresses may be used to reduce swelling and bruising.
• Follow-up appointments are needed to monitor healing and remove stitches if non-absorbable sutures were used.
• Recovery time generally spans 1-2 weeks, with most patients resuming normal activities shortly thereafter.

Alternatives

• Eyelid taping or using special glasses for temporary eyelid repositioning.
• Non-surgical treatments such as dermal fillers for mild cases.
• Other surgical options such as a full blepharoplasty, depending on the severity and patient preference. Each alternative has its own set of benefits and downsides, varying in terms of effectiveness, recovery time, and risks.

Patient Experience

During the procedure, if local anesthesia is used, the patient will be awake but will feel minimal discomfort. Post-procedure, patients might experience mild pain, swelling, and bruising, managed with prescribed pain relief and cold compresses for comfort.