Cantopexy - what is it, types of eyelid lift, before and after photos, price, reviews

Cantopexy is one of the popular plastic surgeries that help prevent age-related changes caused by thinning of the periorbital tendons, which provoke the drooping of the outer corners of the eye.

Photos of patients taken before and after an eyelid lift clearly show that the operation is successfully used in the treatment of bulging eyes caused by congenital or acquired pathologies.

What is cantopexy and the cost of an eyelid lift

Eyelid lift (photos before and after the operation clearly show the effectiveness of the correction to eliminate a sad and disgruntled facial expression) - is an operative fixation of the tendons and folds that have lost elasticity located in the inner or outer corners of the eyes, successfully coping with such problems.

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• age-related or congenital drooping of the eyelids and sagging skin;
• puffiness under the eyes;
• eversion of the lower eyelid, which occurs with the appearance of "bulging";
• exophthalmos.

The plastic procedure helps to eliminate fine wrinkles that appear around the eyes and to correct the "sad expression" that occurs due to the corners of the eyes drooping down. Constant contraction of the periorbital muscle, located under the skin around the eyes, leads to tissue depletion and stretching, causing the formation of crow's feet.

Over time, fan-shaped folds thicken, transforming into age-related wrinkles, visible even in a calm state.

The cartilage folds are found in the eyelids under the periorbital muscle and are held in position by folds and tendons placed along the edges of the cartilage. One end of the tendons of the upper and lower eyelids is attached to the lateral surface of the cartilage, while the other is connected to the remaining folds.

The place of fusion between the tendons is called the inner and outer corners of the eye (cantos), attached to the periosteum. At the age of 45 years, the corners of the organ of vision are located at the same level, or the outer corner is 2-3 mm higher than the inner one. The tendons in the outer corner of the eye are thinner, so they stretch more with age, causing the outer corner to drop.

A similar pathology can also be triggered by genetic reasons that cause the appearance of a low level of cantos from birth. Cantopoastics is also used when exophthalmos (bulging) occurs, which appears as a result of insufficient development of the facial skeleton or a deficiency of soft tissues located along the edge of the orbit of the eye.

In most people, the protruding points of the eyeball are in line with the protruding parts of the zygomatic bone. This position is called normal (neutral vector). Insufficient development of the facial skeleton provokes a negative position of the vector, in which the eyes protrude strongly beyond the edges of the orbit (more than 16-18 mm).

This phenomenon in medicine is called bulging and is considered a congenital or acquired defect that develops due to the development of certain diseases, including a brain tumor and thyrotoxicosis.Bulging can be a consequence of strong age-related changes, which are activated when the tone of the periorbital muscle and the surrounding ligaments decreases.

Eyelid surgery is also carried out with the development of ptosis of the lower eyelids, which occurs under the influence of gravitational changes. Often this phenomenon occurs in people with bulging eyes (congenital or acquired), but it can also occur as a result of age-related changes. Over time, the lower eyelid loses support, protruding forward, gradually losing contact with the organ of vision.

Under the influence of such changes, the outer corner of the eye shifts downward, not giving the eyeball the necessary support. In this case, the lower eyelid unfolds, the eyes acquire the appearance of a roundness with a strip of sclera visible between them and the cornea. With the progression of the disease, there is a loss of the organs of vision and the eversion of the mucous membrane outward.

If such a phenomenon is detected, cantopexy is performed, combined with blepharoplasty. For medical reasons, cantopexy can help people born with asymmetry of the organs of vision or paralysis of the facial nerve. In most cases, cantopexy is combined with cantoplasty.

There is no significant difference between the operations, except that the first is used to eliminate the sagging of the lower eyelid, and the second allows you to correct the natural shape of the eyes.

The cost of cantopexy in Russian clinics starts from 15 thousand rubles. The operation is performed by most of the plastic surgery centers located in Moscow and St. Petersburg. The final cost of the operation depends on other procedures (canttoplasty and blepharoplasty) performed in conjunction with the eyelid lift, the size of the affected area and the qualifications of the practicing surgeon.

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Indications

An eyelid lift (photos before and after surgery is given below in the article) is recommended in case of:

• entropion of the lower eyelid;
• the client's desire to form fashionable "cat" eyes (cantoplasty);
  
• the need to correct the natural omission of the corners of the organs of vision;
• the appearance of bags under the eyes formed by hernia or fatty deposits;
• the appearance of a gloomy and displeased expression on the face;
• sagging upper eyelid;
• the appearance of ptosis of the periobital tendons;
• eye injuries;
• prevention and correction of age-related bulging (or due to postponed thyrotoxicosis);
• treating the visual side effects of myopia.

Over time, the thin tendons located in the outer corners of the eyes stretch and weaken, provoking ptosis and ptosis of the corners of the eyes. The defect leads to a narrowing of the eyes, drooping of the lower eyelid and the appearance of a sullen and displeased facial expression.

Skin care products cannot prevent such changes.To solve the age problem, as well as congenital drooping of the lower corners of the eyes, only cantopexy helps.

Contraindications

Contraindications to cantopexy are:

• acute and chronic eye inflammation (including dry eyes syndrome);
• dysfunction of the endocrine system;
• hypertonic disease;
• diabetes;
• oncological neoplasms;
• low blood clotting;
• diseases of the cardiovascular system;
• thyrotoxicosis (the operation is performed only after a complete cure to correct the emerging bulging eyes);
  
• diseases of the immune system;
• acute and chronic infectious pathologies;
• recurrence of any chronic dysfunctions of the body (during the canthopexy, the stage of remission should last at least 3-4 months);
• the period of pregnancy and lactation.

Cantopexy should not be performed:

• persons who have been in a stressful state for a long time;
• women during menstrual bleeding;
• with the forced intake of blood thinning agents;
• patients in a state of alcoholic or drug intoxication or suffering from alcohol withdrawal syndrome.

For children under 18, the operation is performed only in case of emergency (in the presence of congenital drooping of the eyelids, asymmetry of the visual organs, bulging eyes) and after obtaining the consent of the parents or guardians.

Types of cantopexy

An eyelid lift (before and after photos demonstrates the benefits of the procedure for correcting age-related changes in the eyelids) differs depending on the area requiring correction.

For instance:

• External cantopexy it is used in case of age-related ptosis of the lower eyelid caused by drooping of the outer corner of the eye or to increase the almond-shaped incision of the organs of vision (together with cantoplasty).
  
• Medial cantopexy, helps to correct the inner corner of the eye.

How is the operation performed

Eyelid lift (photos before and after the operation make it possible to assume the need to prescribe the procedure to persons suffering from congenital defects of the organs of vision) is carried out only in the sterile conditions of an operating medical center or a cosmetology clinic.

Before the procedure, the patient is discussed in detail the course of cantopexy and the type of pain relief used during the operation.

Training

Before cantopexy and cantoplasty, it is necessary to visit an ophthalmologist and a plastic surgeon to exclude contraindications to the procedure and determine the area of ​​influence.

Namely:

1. The surgeon will examine the patient, examine the structure of the face and visualize the result of the proposed operation on a computer.
2. The ophthalmologist at the appointment will assess the condition of the eyes, determine visual acuity, examine the fundus and measure the level of intraocular pressure.

Before the appointment of the operation, the patient must pass blood tests, according to which it is established:

• biochemical formula, blood group and Rh factor, clotting rate:
• the presence of hidden infections and inflammatory processes in the body;
• whether antibodies to HIV infection, syphilis, hepatitis B and C are present;
• the amount of glucose contained in the body fluid.

Also carried out:

• OAM;
  
• ECG;
• Fluorography (if the patient has an overdue result).
• women are additionally recommended to undergo a gynecological examination to exclude a possible pregnancy.

A month before the cantopexy, you must:

• exclude any alcohol-containing drinks from the body;
• give up nicotine.

If it is decided to carry out the operation under general anesthesia, the patient should arrive at the clinic in the evening before the day of the scheduled procedure. The patient should refrain from evening meals and breakfast, preparing the body for the effects of anesthesia.

Local anesthesia does not require hospitalization of the patient, but any food should be avoided 8-12 hours before the operation.

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Technique

Cantopexy usually takes no more than 1.5-2 hours and is performed under local, conduction or general anesthesia. An increase in time is possible when combining the procedure with blepharoplasty (if it is necessary to remove hernial parts from the lower section) or cantoplasty (additional correction of the eye incision).

Operation progress:

1. The patient lies down on the couch.
2. The doctor applies a marker on the area to be corrected and injects the patient with anesthesia. The eyeball area is covered with a plastic shield for protection.
   
3. The surgeon makes incisions with a scalpel. The 1st is carried out 2 mm below the lash line. The 2nd passes along the natural fold under the brow arch. The length of each cut should not exceed 1 cm.
4. The edge of the periorbital line is pulled up with a self-absorbable thread, for this, the thread is passed directly under the ligament (to create the outer corner of the eye), the edge of the periorbital muscle is captured with a U-shaped suture and the remainder of the thread is pulled under the angular ligament in the opposite direction (to the periosteum). The ends of the thread are pulled together and tied. This suture is required to hold the lower eyelid in the desired position.
5. The resulting excess skin is excised.
6. At the end of the procedure, external sutures with 2 knots are applied. In most cases, self-absorbable sutures are used, but conventional (non-absorbable) material can be used.

When performing lateral canthopexy, the ends of the tendons are sutured together with the lateral sections and fixed next to the periosteum. Additionally, a small fragment of the lateral tendons located at the outer corner of the eye is removed.

With medial cantoplasty, the same manipulations are performed on the inner corner of the eye.

The patient does not see the procedure, since the organs of vision are protected by a special cap. The postoperative sutures are completely invisible, as they are located along the natural superciliary crease.

To obtain a more pronounced result, canthopexy can be performed simultaneously with blepharoplasty or myopexy. Blepharoplasty additionally allows you to remove overhanging skin from the upper or lower eyelid, and myopexy is performed to lift the face and eliminate bags under the eyes. A plastic surgeon determines the specific technique and the need for exposure.

Photos of patients before and after surgery

Photos of patients who have undergone an eyelid lift clearly demonstrate the effectiveness of canthopexy in correcting age-related changes in the eyes. The tired and gloomy look, present in the pictures before cantopexy, is a constant companion of many women who have crossed the 60-year-old milestone.

The operation helps to lift the lower eyelid, open the eyes, giving the face a more youthful and cheerful look (which is noticeable in the photographs taken after the procedure). Cantopexy is most effective in people with bulging eyes.

Age-related ptosis in persons who have undergone thyrotoxicosis or suffer from myopia can lead to a severe ptosis of the lower eyelid, leading to an almost complete loss of the lower support of the eyeball. Fixation of the lower eyelid corrects the position, eliminating the cosmetic defect and preventing the progression of exophthalmos.

Rehabilitation

The rehabilitation period after cantoplasty takes about 20 days. In the absence of complications after the procedure the patient is discharged home after 12 hours of observation (or the morning after the procedure). In the case of a major operation combined with myopexy or blepharoplasty, the client is hospitalized and remains under the supervision of the medical staff for 1-3 days.

Effects

During the first 7 days, the patient will be disturbed by strong pain sensations, to prevent which antispasmodics are prescribed (at least 1 tablet every 7-8 hours). For 7-10 days, the sutures dissolve (or are removed), the nodules are trimmed, and the patient can proceed to the 2nd stage of the rehabilitation period.

All 20 days, until the moment of complete healing, the patient notices on the face:

• swelling;
• inflammation of the conjunctival sac;
• increased tearing;
• hematomas;
• lumps in the inner corner of the eye.

Bruises and swelling appear due to trauma to the blood vessels and can occupy a fairly large area on the face. Normally, they disappear after 15-20 days on their own, after complete healing of the tissues. To prevent excessive dryness and relieve inflammation of the eyes, moisturizing eye drops are prescribed, with the effect of artificial tears.

For the entire rehabilitation period, those who have undergone cantopexy are prohibited:

• is in the sun;
• to read;
  
• watch TV;
• work on computer;
• to swim;
• visit saunas, baths;
• stay in the sun without tinted glasses;
• use decorative cosmetics (mascara, shadows);
• wear contact lenses.

Up to 3 weeks after surgery, you should:

• Wear sunglasses at all times. You need to protect your eyes not only during the day, but also in the evening, since the artificial light of lanterns or machine headlights can provoke the development of the inflammatory process.
• Sleep only on your back using a high, flat pillow.

For about 2-3 weeks, the patient will be bothered by the tension of the eyelids, and redness may be present for more than 2 months after the operation as a residual phenomenon.

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Complications

Complications after surgery can occur due to the unqualified work of the surgeon or are the result of the patient's dismissive attitude towards the peculiarities of the course of the rehabilitation process.

Among the most common negative consequences:

• Inflammatory processes and infection of the seams, treated with anti-inflammatory and antibiotic therapy.
  
• Rough or too tight seams. All responsibility in this case lies with the actions of the plastic surgeon. Physiotherapy or cosmetic procedures (microderrasion) help to correct the scar after healing.
• Seals in the seam area. A side effect can be caused by the individual characteristics of the patient's body and is eliminated with special anti-inflammatory, ophthalmic ointments and physiotherapy.
• Inconsistency of the result with the patient's initial expectations. In this case, the appointment of a repeated operation is required.

To avoid such complications, it is necessary to take a responsible approach to the choice of a medical clinic and the attending physician, as well as to scrupulously follow the recommendations of medical personnel in the postoperative period.

The duration of the effect

The effect of cantopexy can be assessed after 3 weeks, and the new image will remain unchanged for 6-11 years.

The preservation of the result of cantopexy largely depends on the age and structural characteristics of the patient's body, since after 40 years cantose loses a significant part of its elasticity and re-adjustment may be required after a shorter period.

An eyelid lift helps combat visible signs of aging, restoring beauty and attractiveness to the eyes.

Photographs of patients taken before and after canthopexy indicate the need for plastic correction in case of sprains of the periorbital muscle tendons, since a gloomy and displeased look of the face that occurs when the eyes are lowered can greatly spoil the image even at a young age.

Article design:Lozinsky Oleg

Eyelid lift videos

Eyelid surgery and cantoplasty, features:

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