Can You Perform A Dynamic Lateral Canthopexy?

Q: Dr. Eppley, I am contacting you because after having studied I am sure that Dr. Eppley is the only one capable – especially since Dr. Botti (who created the Dynamic Canthopexy with drill hole) has retired – to perform the technique of Dynamic cantopexy with drill hole presented in the medical literature article that I attach.

I’m sure Dr. Eppley knows about that and that is the only tecnique able to give an “extreme” and stable result. Consequently, I would like to undergo this surgery with Dr. Eppley and obtain a result equal to or superior to that shown in the last image of the medical journal article i’ve attached.

So I would like to know:

1) If Dr. Eppley performs this specific Cantopexy technique (which he rightly calls canthoplasty) and if he can guarantee me a result similar to the one obtained by the girl in the last image of the article.

A:I am very familiar with the dynamic or double hole lateral canthoplasty as it is the most secure method of a lateral canthoplasty and certainly the only technique to use in extreme outer eye corner lifting. In these extreme efforts I would combine that with a spacer graft whose lateral tail is secured up along the lateral orbital rim. In answer to your specific questions about it:

1)  No surgeon can guarantee a specific result as there are other variables than just technique that contribute to an outcome. What can be guaranteed is the maximal effort to try and achieve a specific outcome.

Dr. Barry Eppley

World-Renowned Plastic Surgeon