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Suspension suture canthopexy: a minimally invasive procedure for correcting mild to moderate ectropion


  • Hayes B Gladstone MD,

    1. Department of Dermatology, Division of Dermatologic Surgery, Stanford University School of Medicine, Stanford, CA, USA
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  • Ronald L Moy MD

    1. Division of Dermatology, University of California, Los Angeles School of Medicine, Los Angeles, CA, USA
    2. Division of Dermatology, Los Angeles Veterans Administration Medical Center, Los Angeles, CA, USA
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  • Both authors made significant contributions to this manuscript. Neither author has any relevant financial disclosures or conflicts of interest.

Hayes B Gladstone, MD, Division of Dermatologic Surgery, Department of Dermatology, Stanford University Pavillion B, 4th Floor, 450 Broadway Street Redwood City, California, 94063 USA. E-mail:


Background:  Ectropion of the lower eyelid can occur after blepharoplasty as well as reconstructive procedures. Even mild ectropion can cause irritation or epiphora. Patients with preexisting lid laxity are at higher risk for post procedure ectropion.

Aims:  To describe a method for canthopexy and discuss its indications, benefits and limitations.

Methods:  We describe a technique that has been used on dozens of patients by both the authors.

Results:  This suspension suture canthopexy corrects mild to moderate ectropion.

Discussion:  Suspension suture canthopexy is effective in patients with the appropriate indications. It can be performed under local anesthesia with minimal complications. Unlike other forms of lid tightening, it does not change the shape of the eye.

Conclusion:  Suspension suture canthopexy which is an ancillary procedure for eyelid rejuvenation is valuable procedure to master by the dermatologic surgeon.