Lower eyelid suspension surgery (Canthopexy) can fix eyelids that droop or sag due to sun damage, prior eyelid surgery, aging, or paralysis. This procedure will typically tighten and mildly elevate the lower eyelid to reduce the symptoms from excessive conjunctival and corneal exposure (such as weeping, inflammation, irritation, redness, and blurring of vision), and to improved appearance of the lower eyelids and eyes.
Sagging of the lower eyelids causes real symptoms, so insurance coverage is frequently available. Following your consultation, the office staff will assist you in making the appropriate inquiries to your insurance company for possible pre-authorization.
A pinpoint incision in the outer corner of the eyelids as well as a 1 cm incision in the nearby upper eyelid crease. A suture is used to suspend the corner of the eye up to the bone of the upper/outer orbit. The incision in the upper eyelid is then closed with dissolvable sutures. Canthopexy can be done under local anesthesia with sedation or under general anesthesia.
This procedure involves a very small area and usually cause little pain or other symptoms. Local swelling and bruising is usually present for one to two weeks. The white part of the eye (sclera) and the clear membrane that covers it (conjunctiva) may become red temporarily. In most cases, patients need only one to two days off from work to recover.