Lower Eyelid Skin Excision (Lower Blepharoplasty), Canthoplasty

Treatment details: Lower Eyelid Skin Excision (Lower Blepharoplasty), Canthoplasty

Lower eyelid skin excision involves a small incision just below the lower lash line. Excess skin is removed to reduce lower eyelid sagging and wrinkles.

Canthoplasty aims to enlarge and reshape the eyes by extending the outer corners (lateral canthi), using an incision at the outer eye corner to lengthen the horizontal width of the eye.

The bottom photo was taken one month after surgery. The shape of the lower eyelid generally stabilizes around four weeks after lower eyelid skin excision, while complete healing after canthoplasty may take several weeks.

After lower eyelid skin excision, significant swelling typically subsides within one to two weeks and bruising tends to fade in about two weeks, although individual responses vary. Skin discoloration around the lower eyelid typically changes from purple to yellow and returns to normal in about two weeks. The scar sits below the lash line, stays pink for several months, and softens gradually. Removing too much skin can pull the lid margin downward or make full closure difficult, which may require correction, while removing too little leaves residual looseness. Asymmetry, bleeding, and infection are uncommon.

After canthoplasty, swelling and bruising typically subside within one to two weeks, and mild discomfort or tightness may occur afterward. Incisions for this procedure are placed at the outer corner of the eye with the aim of keeping visible scarring minimal, and scars usually fade over time.