This technique corrects the in-turning of the lower eyelid and can be performed along with cosmetic lower blepharoplasty. This can sometimes be repaired by a canthoplasty or a by canthoplasty in combination with grafting procedures of the inside of the eyelid. Often this is performed along with mid-face lifting to elevate the eyelids and the cheeks. There are two different types of facial wrinkles which are different but related. Dynamic wrinkles are wrinkles with facial movement caused by the small and large muscles of facial animation.
Static wrinkles are wrinkles seen at rest.
These wrinkles may be secondary to chronic and repetitive facial animation or related to sun exposure, aging changes, or a history of smoking. Static wrinkles are best treated with laser resurfacing or fillers such as collagen or fat. I have performed laser resurfacing to the eyelids and face for a number of years with satisfying results. Treating dynamic wrinkles of the face helps to prevent the development of static wrinkles. I was selected by the American Academy of Ophthalmology to write the monograph on the management of facial nerve paralysis.