What is Double Eyelid Surgery with Canthoplasty? How It Differs from Standard Double Eyelid Surgery

This article is compiled and medically reviewed by the specialist medical team at BonBoz Clinic.

Quick summary: Blepharoplasty with canthoplasty is a surgical technique that widens the corners of the eyes, elongates the eye line, and alters the overall shape of the eyes, unlike standard double eyelid surgery which only raises the height of the upper eyelid. This method is suitable for those with small eyes, drooping eye corners, or those wishing to comprehensively improve their eye appearance. To achieve optimal aesthetic results, clients must strictly follow post-operative care instructions and attend follow-up appointments as scheduled by the doctor.

What is Blepharoplasty with Canthoplasty?

Blepharoplasty with canthoplasty is a surgical technique that widens the corners of the eyes, designed for individuals with small eyes, drooping eye corners, or those who want their eyes to look longer and larger overall—unlike standard double eyelid surgery, which only raises the height of the upper eyelid. In East Asians, medial canthoplasty (addressing the epicanthic fold) is generally more common than lateral canthoplasty, though the technique can be applied to both areas depending on your specific eye condition.

You can picture it this way: if your eyes are slightly small or the outer corners droop, blepharoplasty with canthoplasty helps "lift" the outer corners, creating a longer eye line.

The Difference Between Blepharoplasty with Canthoplasty and Standard Double Eyelid Surgery

These two techniques are not the same, even though both involve the eyelids.

Standard double eyelid surgery (upper blepharoplasty):

• Only targets the upper eyelids
• Primarily aims to raise the height of the upper eyelid and widen the field of vision
• Suitable for drooping eyelids, eyelids that cover the pupil, or when you want a more awake appearance
• Does not alter the length or overall shape of the eyes

Blepharoplasty with canthoplasty:

• Targets the outer corners of the eyes (and sometimes the inner corners)
• Aims to elongate the eye line and widen the eye corners
• Suitable for those wanting larger eyes, deeper eye corners, or when the corners are drooping
• Alters the overall shape of the eyes

In some cases, you may need a combination of both—upper blepharoplasty to raise the height, along with canthoplasty to increase the overall size. Depending on your eye condition, the doctor will advise the most suitable option.

Who is a Good Candidate for Blepharoplasty with Canthoplasty?

You may consider this technique if you experience any of the following:

• Small eyes that lack brightness relative to the face
• Slightly drooping or downward-sloping outer corners of the eyes
• Desiring longer, more almond-shaped or Western-style eyes
• Eyes obscured by excess eyelid skin or fat tissue at the corners

• Having never undergone eye surgery before and wanting to improve your overall appearance

However, everyone has a unique eye structure. The doctors at BonBoz will conduct a thorough examination, assess your eye shape and eyelid laxity, and recommend the optimal solution for you.

The Procedure for Blepharoplasty with Canthoplasty

The procedure typically involves the following steps:

1. 1Detailed consultation and examination. The doctor examines your eye structure, eyelid laxity, measures your eye dimensions, and determines your aesthetic goals.
2. 2Design and marking. The doctor draws the incision and canthoplasty lines on your eyes for your confirmation before beginning.
3. 3Anesthesia and surgery. The doctor administers local anesthesia, then performs the incision and lifts the eye corners according to the planned design.
4. 4Suturing and completion. After adjusting the shape, the doctor closes the incisions with fine sutures or leaves them suture-free (depending on the technique).
5. 5Post-operative care. You will be instructed on how to clean the area, use medications, and avoid strenuous activities during your recovery.

Post-Operative Care

Recovery typically takes a few weeks. During this period, you need to:

• Keep the incision clean, washing it gently with clean water
• Apply cold compresses on the first day to reduce swelling, followed by warm compresses to improve circulation
• Avoid physical activities and excessive eye movement
• Do not touch, rub, or scratch the incision
• Take anti-inflammatory medications and antibiotics as directed by the doctor

According to the official post-operative eyelid care guidelines at BonBoz: abstain from seafood, beef, glutinous rice, water spinach, alcohol, and stimulants for about 1 month to support optimal wound healing. Suture removal is typically scheduled for day 7 after surgery; the doctor will set a specific appointment for you.

• Attend follow-up appointments as scheduled for the doctor to monitor the healing process and remove sutures if necessary

Everyone heals at a different pace, but generally, you can return to normal activities after one to two weeks. The final results will stabilize after about one to three months.

Need a Direct Consultation?

Blepharoplasty with canthoplasty is an excellent option if you want to comprehensively improve the size and shape of your eyes. However, only an experienced doctor can accurately assess whether this is the right approach for you.

If you are looking to enhance your eyes, visit BonBoz for a free consultation. The doctors at BonBoz will listen to your concerns, perform a careful examination, and recommend the most suitable solution for your goals—whether it is blepharoplasty with canthoplasty, standard double eyelid surgery, or another approach.

Frequently Asked Questions

1. How does blepharoplasty with canthoplasty differ from standard double eyelid surgery?

Standard double eyelid surgery only targets the upper eyelid to raise the crease and widen the field of vision without changing the length or shape of the eye. In contrast, blepharoplasty with canthoplasty directly targets the corners of the eyes (inner or outer) to elongate the eye line, widen the eye corners, and alter the overall shape of the eyes.

2. What foods should I avoid after blepharoplasty with canthoplasty?

According to the official care guidelines at BonBoz, you should avoid seafood, beef, glutinous rice, water spinach, alcohol, and stimulants for about 1 month to support the best possible recovery of the incision.

3. When can I have my sutures removed after surgery?

Suture removal typically takes place on the 7th day after surgery. The doctor at BonBoz Clinic will schedule a specific appointment and directly examine your healing progress.

4. How long does it take for the eyes to heal and look natural?

Generally, you can return to normal daily activities after 1 to 2 weeks. The final aesthetic results of your eye shape will stabilize and look natural after approximately 1 to 3 months.

This content is compiled and medically reviewed by the specialist medical team at BonBoz Clinic.