Engineered Secondary Intention Healing for Lateral Canthal Web Improvement

Introduction: Lateral canthal webbing is a complication of eyelid surgery occurring due to a regional vertical anterior lamellar deficiency. There are few treatment publications in the literature, with no widely accepted simple technique for revision. We describe a quick, in office intervention that undermines the surrounding lateral canthal dermal web tissue. The defect is left to fill in by secondary intention addressing the vertical tissue deficiency, yielding an improvement in the webbing. Methods: Case series of three patients who underwent lateral webbing revision by one surgeon. Charts were reviewed and demographics, initial procedure, time frame of revision, aesthetic and functional result, time period of follow up, and complications were identified. Results: Three patients underwent the lateral webbing revision procedure from 2022-2024. Two patients were male and ages ranged from 56-85 years. Patients were followed post operatively for a range of 13 to 21 months. All three patients noted satisfaction with the final result. Conclusions: The presented technique offers a relatively quick, in office low risk procedure to improve canthal webbing by engineered secondary intention healing.