Selection of canthopexy techniques

This is the authors' abstract. We don't add key points for this paper.

Dr. Carraway: The types of canthoplasty and canthopexy that we will be considering are tarsal strip procedure, lateral canthal tightening, transposition of the lateral canthal tendon, the dermal-orbicular pennant canthoplasty, and the inferior lateral retinacular canthopexy. Dr. Patipa, what is your indication for use of lateral canthal tightening? Dr. Patipa When I examine a patient's lower eyelid and midface, looking for laxity of the lateral canthal tendon, I primarily assess mobility of the lateral canthal angle. I will then tighten the lateral canthal tendon as part of the surgical procedure to achieve the desired result. Dr. Carraway: Dr. Lissauer, how would you use the tarsal strip procedure? What kind of patients would be appropriate? Dr. Lissauer: I use lateral tarsal strip procedures in patients in whom there is significant lengthening of the tarsoligamentous sling with horizontal lid laxity that clinically presents as frank eyelid malposition or cosmetically presents as a rounding or bowing of the temporal aspect of the lower eyelids.