Canthopexy Atlanta

Canthopexy is a minimally invasive surgical enhancement that lifts and tightens sagging lower eyelids. The lower ridge of the lid cradles the eye and gives it a pleasing frame from which to see the world. But when lower eyelids droop, it can cause discomfort and cosmetic distress.

Dr. Brian Arslanian can address maladjusted eyelids with precision and artful skill. One look at his Instagram feed and you’ll understand how he earned the nickname Dr. Hotlanta. By putting his expertise to work for you, Dr. Arslanian can transform your sagging lids into a stunning statement.

To learn how canthopexy can benefit you, contact our offices. Dr. Arslanian proudly serves the needs of Jonesboro, Sandy Springs, Marietta, Roswell, Alpharetta, greater Atlanta, central Georgia, and beyond. If you are unable to visit us in person, we also provide remote consultations. No matter where you may wander, Dr. Arslanian keeps an eye out for you. Call (678) 894-9200 to connect with your brilliant future.

About Eyelid Contouring

When the lower eyelid hangs away from the eye, it can appear red and weary. The condition is known as ectropion, and it can become even more pronounced in one’s older years.[1] Even during youth, however, malpositioned eyelids convey fatigue and stress, even if the person is alert and happy.

Eyelid Contouring Atlanta

When ectropion is especially pronounced, it can dry out the eyeball. To address the complications and aesthetic imperfection of skewed lower eyelids, canthopexy is a great option. Canthopexy brings the lower lid to a more taut, firm position. The red ridge of the lid is no longer the first feature others see. Instead, the lower eyelid sits flush against the pupil. Dr. Arslanian supports the structure of your delicate features with a canthopexy procedure tailored to your needs and goals.

Medial Canthopexy

The shape of the eye is as graceful as it is functional. The edges flare out in either direction, allowing the gentle flutter of the lids to hydrate the surface with every expressive blink. The interior corner of the eye, nearest the nose, is called the medial canthus.[2] Dr. Arslanian can make a tiny alteration of the canthal junction, bringing the lip of the lower lid upward. He then secures the edge of the lower eyelid gently at its natural intersection of the medial canthus.

Lateral Canthopexy

Depending on your anatomy and extent of eyelid malposition, Dr. Arslanian may recommend a lateral canthopexy instead.[3] The lateral canthus is found on the exterior edge of the eye, further away from the bridge of the nose. Dr. Arslanian makes a small, gentle incision along the crease of the outer eyelid and removes any excess tissue. He then sutures the incision closed, adjusting the lateral canthal tendon to provide proper support to the lower lid.

Pretarsal Roll Injection

As part of a canthopexy procedure, Dr. Arslanian may enhance the pretarsal roll of the lower eyelid. The pretarsal roll is the very edge of the eyelid. When it is depleted over time, the ridge loses definition and appears thin. By injecting hyaluronic acid (HA) based dermal filler into the pretarsal roll, Dr. Arslanian strengthens the lower ridge of the eyelid and gives it volume and definition.[4] 

You may also want to explore the possibilities of fat transfer to the pretarsal roll. Dr. Arslanian can remove unwanted fat from “problem areas” like the thighs or abdomen via liposuction. He then purifies the extracted fat cells and prepares them for re-injection to the pretarsal roll. Facial fat transfer procedures utilize your own body’s material to enhance certain features, giving new life to your lids!

Benefits of Canthopexy

  • More youthful eye contours
  • Lids sit comfortably against the eye
  • Less redness and dryness
  • More confidence and clarity

Eligible Candidates

If you desire lifted lower lids and are in good general health, then canthopexy may be perfect for you. Ideal candidates are non-smokers with realistic expectations for facial rejuvenation. Please tell Dr. Arslanian if you have a history of eyelid tumors or lesions. You may need to postpone your canthopexy procedure if you are experiencing an active outbreak or infection in the treatment area. Dr. Arslanian can determine your eligibility for canthopexy during your comprehensive consultation

Private Consultation in Atlanta

The key to great communication is listening. In addition to having the hands of a skilled surgeon and the eye of an artist, Dr. Arslanian has the ears of a trusted friend. He welcomes you to share your medical records as well as your aesthetic goals. Dr. Arslanian can compile all of the data you give him into a transformative strategy.

If canthopexy is the best approach to elevating your droopy eyelids, then Dr. Arslanian will explain the procedure, step by step. If, on the other hand, a different solution would better complement your case, the doctor can walk you through those options.

In an effort to communicate his dedication and expertise to the greater Atlanta community, Dr. Arslanian regularly updates his blog. The posts are a blend of useful information and healing encouragement. You may feel hesitant about embarking on a cosmetic surgery experience, but Dr. Arslanian can usher you toward your best self without pushing you. This is your journey; Dr. Arslanian is just your humble co-pilot. Please call (678) 894-9200 to schedule an appointment and explore the rejuvenative wonders of canthopexy.


During your comprehensive consultation, you will receive detailed instructions to prepare you for your upcoming canthopexy procedure. These directions will be customized to your situation, so please follow them carefully. In general, you may be asked to stop taking certain medications that thin the blood. Proper circulation is vital to any successful surgery.

Please do not wear makeup on the day of the canthopexy procedure. Your face will be thoroughly cleansed, but the fewer irritants on the skin, the better. You should appoint a caregiver before the date of your eyelid enhancement. This person will drive you to and from the surgical center, as you should not drive after an invasive procedure.

Canthopexy Procedure

When you arrive for your canthopexy treatment, you will be made to feel right at home. Dr. Arslanian will review the finer points of your case and answer any remaining questions you may have.

An anesthesiologist will administer the proper sedation to keep you safe and comfortable throughout the procedure. The length of a canthopexy surgery varies from patient to patient, but it typically takes between one and two hours.

Recovery and Results

To get a glimpse of how satisfied you will be with Dr. Arslanian’s work, check out his eye-opening reviews

Since canthopexy is such a focused surgery, it is associated with shorter downtimes and faster recovery than many other procedures. You may be encouraged to apply ice packs to the affected area to minimize any discomfort, and Dr. Arslanian may also prescribe pain medication. He will explain which cleansers to use on your face following canthopexy.

Please do not overexert yourself in the 1-2 weeks after eye surgery. You should also avoid rubbing or scratching the incision site(s). The tender skin needs time to heal, and great results are worth the wait!

Complementary Procedures 

Canthopexy lifts and firms the lower eyelid, but it may be performed in conjunction with blepharoplasty. Eyelid surgery can refresh your most prominent facial features, eliminating sag and amplifying youthfulness. 

To give your eyes the perfect frame, consider the benefits of Botox Cosmetic. Botox is a neuromodulator, which means it disrupts the repetitive flexing of the fine muscles along the face. By easing tension in the brow, specifically, neuromodulators release glabellar lines and smooth out the upper facial features.

Botox allows you to get a temporary preview of how your appearance can be replenished. For more permanent results, explore the possibilities of a facelift and/or neck lift. Dr. Arslanian can skillfully remove excess skin to celebrate your natural attractiveness.


How much does canthopexy surgery cost in Atlanta?

Dr. Arslanian will provide you with transparent pricing for the canthopexy procedure during your comprehensive consultation. We are proud to offer four different credit options to help you navigate the payment process, so please visit our financing page to learn more. As always, feel free to contact us online or dial Dr. Arslanian’s office directly at (678) 894-9200. We eagerly await your call!


  1. de Menezes Bedran, E. G., Correia Pereira, M. V., & Bernardes, T. F. (2010, May). Ectropion. In Seminars in Ophthalmology (Vol. 25, No. 3, pp. 59-65). Taylor & Francis.
  2. Kelly, C. P., Cohen, A. J., Yavuzer, R., Moreira-Gonzalez, A., & Jackson, I. T. (2004). Medial canthopexy: a proven technique. Ophthalmic Plastic & Reconstructive Surgery. 20 (5) 337-341. DOI: 10.1097/01.IOP.0000139519.40976.28
  3. Knize, D. M. (2002). The superficial lateral canthal tendon: anatomic study and clinical application to lateral canthopexy. Plastic and Reconstructive Surgery. 109 (3) 1149-1157. Retrieved from 
  4. Jung, G. S. (2019). Pretarsal roll augmentation with dermal hyaluronic acid filler injection. European Journal of Plastic Surgery. 42, 295–298.