60. Elastic canthopexy with three threads
The chosen line is first drawn up to the hairline then in the direction of the eye. The line extends to below the level of the lower eyelashes, approximately 8mm/10mm from the apex of the outer canthus. The bases of the isosceles traction triangles are drawn. The base is not less than 2.5 cm long in women and about 3 cm in men. If the patient wants the eyes to be raised, the base is moved upwards. The same is done if one eye is more horizontal than the other; on the side that needs to be lifted more, the base of the isosceles triangle is drawn 5 mm/10 mm higher. The aim is to make the patient's look as symmetrical as possible.
A skin access is created with a slightly inclined 16G needle at the lower end of the base of the isosceles triangle. This hole will not be sutured, no scar will remain.
The thread Elasticum EP 3.5 (Korpo.com ) that forms the isosceles triangle is implanted; traction will be exerted on the left eye and on the lateral tissues inside this triangle.
The access holes are medicated with an antibiotic ointment twice a day. The eyes are now symmetrically elongated and equally narrow with minimal trauma and without dissection.