Medically reviewed by Dr. Hootan Zandifar, MD, FACS — double board-certified facial plastic surgeon, Beverly Hills & Santa Monica · 2026-09-04
Quick answer: Both reshape the outer corner of the eye, but they differ in how much they do. A canthopexy tightens and repositions the existing outer corner tendon without cutting it — a subtler lift. A canthoplasty detaches and reconstructs that corner, allowing a bigger change. The right one depends on your eyelid laxity and goals.
Canthopexy: the tightening
A canthopexy reinforces and slightly repositions the outer corner (lateral canthus) without releasing the tendon. It’s the more conservative option — good for a modest lift or to support the lower lid — with generally quicker recovery.
Canthoplasty: the reconstruction
A canthoplasty actually detaches and remakes the outer corner, so it can create a larger change in shape or correct significant lid laxity or malposition. More is done, so it’s a bigger procedure.
How the right one is chosen
The decision rests on your eyelid tone, corner position, whether there’s a functional issue, and how much change you want. Sometimes these accompany a blepharoplasty or a fox-eye request. An exam decides.
Natural results either way
With both, the goal is a natural, supported outer corner — not an obviously pulled eye. Overcorrection is the main way these look unnatural.
Key points
- Canthopexy: tightens/repositions the corner tendon, no cutting — subtler.
- Canthoplasty: detaches and reconstructs the corner — bigger change.
- Choice depends on lid laxity, corner position, and goals.
- Often paired with eyelid surgery; decided in person.
Frequently asked questions
Which has an easier recovery?
A canthopexy is generally the more conservative procedure; specifics depend on your case and are reviewed with you.
Which lasts longer?
Both are designed to be durable; longevity depends on your tissue and the extent of correction.
Can they fix a droopy lower lid?
Both can support or reposition the outer corner; which is appropriate depends on the degree of laxity.
How do I know which I need?
An in-person exam of your outer corner and lid tone determines the right procedure.
Related on this site: Blepharoplasty (eyelid surgery) · fox eye lift · almond eye surgery.
Talk to a Beverly Hills specialist
To learn which outer-corner procedure fits your eyes, Dr. Zandifar sees patients in Beverly Hills and Santa Monica and reviews your anatomy in person before recommending anything. Request a consultation.
Dr. Hootan Zandifar, MD, FACS, is a double board-certified facial plastic surgeon and otolaryngologist practicing in Beverly Hills and Santa Monica. Educational information only, not medical advice.
