Speaker

Debraj Shome, MD, FRCS, FACS, MBA
The Esthetic Clinics, India

Dr. Debraj Shome is a top Facial Plastic Surgeon, Cosmetic Surgeon and Oculoplastic Surgeon. Dr. Shome co-founded The Esthetic Clinics. The Esthetic Clinics are a group of top-class centers, based in Mumbai, Hyderabad, Kolkata & New Delhi, India and dedicated to the disciplines of aesthetic surgery and skin care of the body. Dr. Shome is a Surgeon super specialized in Facial Plastic Surgery, Oculoplastic Surgery & Cosmetic Surgery & is a consultant at Breach Candy Hospital; Saifee Hospital, Girgaon, Mumbai; Apollo Spectra Hospital, Chembur, Mumbai & SL Raheja Fortis Hospital, Mahim, Mumbai, India. Dr. Shome also runs a NGO called Debabrata Auro Foundation which plays a role in the upliftment of the downtrodden. Dr. Shome is the ex-Head of the Institute of Aesthetic Surgery, Apollo Hospitals, Hyderabad, India. Dr. Shome was Visiting Faculty to the Department of Head & Neck Surgery at MD Anderson Cancer Center, Houston, USA.

Abstract

Introduction: The shape of the eyes can significantly alter the way a person's face looks. With the proliferation of the internet, more and more people desire cosmetically appealing eye shapes. Cosmetic lateral canthoplasty is a procedure to change and enhance the shape of the eyes. It is becoming a common esthetic procedure performed for creating almond shaped eyes. The technique involves a lateral tarsal strip canthoplasty and canthopexy to create an upward slant of the lateral canthal region. It differs in Asians and Caucasians in terms of the technique used. Here we present 30 Asian Indian patients treated with our unique version of the lateral tarsal strip and Canthoplasty technique, to create symmetrical, almond shaped eyes. 

Methods: 30 patients between the years March 2015 to April 2020 were treated to cosmetically change the way their eyes looked. They presented with complaints of not being happy with the symmetry and the shape of the eyes. Their ophthalmic examination was done to rule out any vision abnormality prior to surgery. All the patients underwent bilateral cosmetic canthoplasty surgery with the lateral tarsal strip technique. Post-operatively, the evaluation of the eyes was performed. 

Results: 30 patients (10 males; 20 females) were treated to alter the shape of the eyes. Mean age of the patients was 25.5 years. The follow up periods ranged between 6 months to 2 years. All the patients presented with satisfactory and aesthetically acceptable results. The bilateral symmetry of the eyes was maintained. The pre-operative underwrite scleral show, if present, was also corrected and symmetrized in between the eyes in all the cases where present. 

Conclusion: Lateral Tarsal Strip and Canthoplasty in the Asian Indian ethnic population is a unique procedure that makes the eyes appear almond shaped. It helps give the eyes a softer look by creating almond shaped eyes and thereby makes the face look more attractive. The authors think this procedure is a good and convenient method to perform and can be done as an out-patient procedure. Precision in surgical technique is essential to have cosmetically pleasing results. We describe a unique technique to create almond shaped eyes in the Asian Indian population.

Take Home Message

The authors think this procedure is a good and convenient method to perform and can be done as an out-patient procedure. Precision in surgical technique is essential to have cosmetically pleasing results. We describe a unique technique to create almond shaped eyes in the Asian Indian population.