Canthopexy is a cosmetic surgical procedure designed to alter the shape or tension of the eyelid, generally to rejuvenate the gaze or to correct asymmetry.
This method involves repositioning or strengthening the outer tendon of the eyelid (lateral canthus) to achieve a lifted and harmonious eye appearance.
It is sometimes confused with canthoplasty, but is distinguished by its more conservative and less invasive approach.
The average price of canthopexy generally ranges between €2,000 and €4,000, depending on the surgeon’s fees, the city, and the patient’s specific needs.
This method is often less expensive than a complete canthoplasty or an associated blepharoplasty, as it is a more targeted and less extensive procedure.
However, the cost may increase if canthopexy is performed as part of a more comprehensive intervention.
Before considering a canthopexy, it is essential to fully understand the different steps involved in the patient’s journey. This procedure, focused on the lower eyelid or outer corner of the eye, requires a personalized approach and proper preparation.
The first appointment with a cosmetic or ophthalmic surgeon is fundamental. During this consultation, the practitioner assesses eyelid anatomy, lateral canthus tone, eye symmetry, as well as the patient’s aesthetic expectations.
The surgeon presents the different canthopexy techniques, realistic goals, and potential risks. This is the moment to discuss specific wishes: opening up the gaze, cat eye effect, correcting a slight eyelid droop, etc.
Depending on the facial morphology, the state of the lateral canthal tendon, and the desired result, a suitable technique is proposed: strengthening the canthus with sutures, discreet repositioning, or combining with blepharoplasty.
The patient receives preparation instructions: stopping certain medications (such as aspirin), eyelid hygiene, and sometimes an appointment with an anesthetist if sedation is planned.
Canthopexy is a short procedure, lasting on average 30 to 60 minutes. It is usually performed on an outpatient basis, under local anesthesia with or without sedation.
It can be performed alone or combined with other procedures such as blepharoplasty or minor canthoplasty, depending on the patient’s needs.
This surgery is generally not very painful. Patients report a slight feeling of tightness or discomfort, but rarely significant pain.
Simple analgesics are prescribed after the procedure. Patients return home the same day, with very simple local care (application of cold compresses, eye drops, rest).
Recovery lasts on average 5 to 10 days. Common symptoms include: slight swelling, bruising around the eyes, transient discomfort in opening or closing the eyelids.
A gentle return to daily activities is possible after 4 to 5 days. Sports, sun exposure, and makeup should be avoided for about 2 weeks.
Canthopexy is usually performed as a one-time procedure. However, in some cases, a touch-up may be considered if the gaze lacks symmetry or if the tension of the canthus loosens over time.
Such touch-ups remain rare and are discussed during postoperative follow-up, depending on healing and the final outcome.
The first results of canthopexy are visible once the postoperative swelling subsides, usually within a few days. However, the final appearance of the gaze can continue to evolve over several weeks, as the tissues stabilize and healing refines.
The eyes gain tension and harmony, with a subtly lifted and rejuvenated effect. The improvement appears natural, without excessive anatomical changes, which is a major advantage of this technique.
The results of canthopexy are generally long-lasting, especially if the tissue quality is good and the patient maintains a healthy lifestyle.
Unlike (resorbable) injections, canthopexy works on the supporting structure of the eyelid, making it possible to maintain the effect for several years. Nonetheless, the natural aging process and progressive tissue laxity may eventually reduce the results.
Although considered minimally invasive, canthopexy remains a surgical procedure and may lead to certain side effects: prolonged swelling, bruising, excessive tension, or, in rare cases, slight asymmetry of the gaze.
Possible complications such as hematoma, infection, or functional discomfort are rare but possible, and must be monitored during postoperative follow-up.
Regular follow-up with the surgeon is essential to ensure optimal healing and to quickly detect any abnormal signs. Follow-up appointments are generally scheduled in the weeks after the procedure.
Strict adherence to postoperative instructions (rest, local care, no makeup, sun protection) helps to improve the quality of the result and to minimize risks. In case of unusual pain, persistent redness, or difficulty closing the eyelid, it is essential to consult promptly.
