Looking for inner canthus Z-plasty before and afters

[MrRubiks]

I'm likely going to get a z-plasty on the inner canthus sometime in September. I'm trying to achieve the appearance of a downturned inner canthus. Anyway, I was looking for before/after pictures, but I can't find anything. If anybody has some that they could share, I would appreciate it.

A note about the procedure:

"Medial canthoplasty is a far more challenging procedure than lateral canthoplasty due to the more limited access of the inner eye and the very thin bones to which the tendon is attached. It is also a procedure that is far less successful as a result. While attempting to do it for reconstructive purposes has merit, manipulation of the medial canthal tendon for aesthetic purposes must be considered far more carefully. I would doubt that moving the inner corner of the eye down will be successful if attempted by trying to move the medial canthal tendon downward. The bones of the medial orbital wall are very thin due to the sinus cavity that lies on the other side. This makes secure fixation very difficult. If the goal is to move the inner corner of the eye downward boy a few millimeters it would far more sense to do so by skin manipulation such as a small z-plasty. It would be more effective and incur none of the risks of destabilizing the medial canthal tendon attachments."

- Dr. Barry Eppley

 

[Titbot]

I'm likely going to get a z-plasty on the inner canthus sometime in September. I'm trying to achieve the appearance of a downturned inner canthus. Anyway, I was looking for before/after pictures, but I can't find anything. If anybody has some that they could share, I would appreciate it.

A note about the procedure:

"Medial canthoplasty is a far more challenging procedure than lateral canthoplasty due to the more limited access of the inner eye and the very thin bones to which the tendon is attached. It is also a procedure that is far less successful as a result. While attempting to do it for reconstructive purposes has merit, manipulation of the medial canthal tendon for aesthetic purposes must be considered far more carefully. I would doubt that moving the inner corner of the eye down will be successful if attempted by trying to move the medial canthal tendon downward. The bones of the medial orbital wall are very thin due to the sinus cavity that lies on the other side. This makes secure fixation very difficult. If the goal is to move the inner corner of the eye downward boy a few millimeters it would far more sense to do so by skin manipulation such as a small z-plasty. It would be more effective and incur none of the risks of destabilizing the medial canthal tendon attachments."

- Dr. Barry Eppley

Dr. Pagnoni can do it but it doesn’t look good. He uses sutures to press down on the medial canthus

 

[MrRubiks]

Dr. Pagnoni can do it but it doesn’t look good. He uses sutures to press down on the medial canthus

Eh, if it doesn't look good I'm not interested. Any after pics by chance? I'm curious.

 

[Titbot]

Eh, if it doesn't look good I'm not interested. Any after pics by chance? I'm curious.

It can look good but it’s hard to achieve symmetry when your down turn the canthus because it depend of how many sutures are attached to the tendon pressing it down. I can show you mine. Dm me

 

[MrRubiks]

It can look good but it’s hard to achieve symmetry when your down turn the canthus because it depend of how many sutures are attached to the tendon pressing it down. I can show you mine. Dm me

Oh, I see. So there's potentially a symmetry issue. I'll send you a dm right now.