Introduction

Canthoplasty is a type of cosmetic eyelid surgery that has gained popularity in recent years, especially in cosmopolitan areas like New York City. This procedure, which involves reshaping the outer corner of the eye to create an almond - shaped or “cat” eye look, is sought after by many individuals looking to enhance their appearance. In this comprehensive article, we will not only delve into the price list information of the top 10 canthoplasty providers in New York City but also explore various aspects related to the procedure itself, including its types, benefits, risks, and recovery process.

Understanding Canthoplasty

What is Canthoplasty?

Canthoplasty surgery, also known as cat eye surgery, targets the lateral canthus, the outer corner of the eye where the upper and lower lid meet. By tightening and elongating the eye horizontally, it gives the eye a positive canthal tilt or upward slant. This oculoplastic surgery is often used to correct age - related upper eyelid laxity, as well as to create a more aesthetically pleasing eye shape. Younger patients, in their 20s and 30s, have also been drawn to this procedure after seeing its results on social media.

Types of Canthoplasty

• Lateral Canthoplasty: This technique repositions the outer corner of the eye to a more upward angle. It is commonly used to create the almond - shaped or “cat” eye look and can help alleviate drooping at the outer corners of the eye.
• Medial Canthoplasty: It repositions the inner corner of the eye to a downward angle. This type of canthoplasty is less common and is typically used to address specific anatomical issues related to the inner corner of the eye.
• Canthopexy: A less invasive procedure compared to canthoplasty, canthopexy strengthens and stabilizes the lateral canthal tendon and surrounding internal structures of the lower eyelid without cutting or detaching the tendon and muscles. It is mainly used to correct drooping eyelids.

Benefits of Canthoplasty

1. Aesthetic Enhancement: Canthoplasty can make the eyes appear larger, brighter, and more expressive. It can give eyes with a negative canthal tilt a happier or more awake look, and create a highly sought - after “cat” or “fox eye” shape.
2. Correcting Age - Related Changes: The procedure can correct the effects of aging, such as sagging and excess skin around the eyes. It can also address medical conditions like ectropion (outwardly - turning eyelids) and chronic dry eyes.
3. Correcting Surgical Complications: Canthoplasty can address drooping or laxity of the lower eyelid caused by trauma or previous surgical complications, like retraction where the lower lid pulls down.

Risks and Side Effects of Canthoplasty

As with any surgical procedure, canthoplasty comes with its own set of risks and side effects. These may include:

• General Surgical Risks: Infection, bleeding, scarring, and anesthesia complications are common risks associated with any surgery. Following the surgeon's aftercare instructions can significantly reduce the likelihood of these complications.
• Eye - Specific Risks: Asymmetry, ectropion (sagging or outward - turning of the eyelid), chronic dry eye, drowsiness, nausea, vomiting, swelling, bruising, blood clots, loose stitches, excessive tearing, mild to moderate pain, excessive bleeding, poor outer canthal alignment, conjunctival exposure, and infections. Most of these symptoms are temporary, but in some cases, they may require further medical attention.

Who is a Good Candidate for Canthoplasty?

The ideal candidate for canthoplasty has the following characteristics:

• Physical Health: Good physical health is essential, and candidates should not have any underlying medical conditions that may interfere with the recovery process. This includes conditions that affect blood clotting, as well as eye - related diseases.
• Realistic Expectations: Candidates should have a thorough understanding of the surgery and its typical results. They should have realistic expectations about the outcome of the procedure and understand that it is a surgical intervention with its own limitations.
• Eye Condition: Having a drooping eyelid (loose lower eyelid) due to aging, genetics, or lifestyle is a common indication for canthoplasty. However, candidates should not have any serious eye conditions that could be exacerbated by the surgery.
• Medication and Lifestyle: Candidates should refrain from taking certain medications that can cause excess bleeding, such as blood thinners. They should also be willing and able to follow the post - op care guidelines, which may include taking time off work, avoiding certain activities, and using prescribed medications.

Preparing for Canthoplasty

Proper preparation is crucial for a successful canthoplasty procedure. Here are the steps that candidates need to take:

• Medication Adjustment: Stop taking blood thinners (such as ibuprofen, apixaban, edoxaban, heparin, etc.) as directed by the doctor. This helps reduce the risk of excessive bleeding during the surgery.
• Dietary Restrictions: Eat light the night before surgery and avoid food at least 6 hours before the procedure. This is to prevent any complications related to anesthesia, such as nausea and vomiting.
• Medication Management: Take essential medications as directed by the doctor and surgeon. However, make sure to inform the medical team about all the medications you are taking, including over - the - counter drugs and supplements.
• Skincare: Avoid makeup on the day of surgery, as it contains chemical irritants and can attract bacteria. Rinse your face with water and soap and do not apply face lotion or cream.
• Transportation: Make transportation arrangements, as your driving ability will be temporarily impaired after surgery. You will need someone to drive you home after the procedure.

The Canthoplasty Procedure

Canthoplasty is usually an outpatient procedure that takes about 2 hours or less. Here is what happens during the surgery:

1. Anesthesia: The procedure can be performed under either general anesthesia or local anesthesia with some form of sedation (oral or IV). Your surgeon will determine the most appropriate type of anesthesia based on your medical history and the complexity of the procedure.
2. Eye Protection: Once you are fully asleep or sedated, the surgeon will insert shields or apply antibiotic ointment to your eyeballs to protect them during the surgery.
3. Incision: The surgeon will make tiny incisions near the outer corners of the eyelid. An experienced surgeon can hide the scar by making the incision in the eye's natural crease.
4. Repositioning and Tightening: The surgeon will then lift, tighten, and reposition the lateral canthus, adjusting the lateral canthal angle. This may involve detaching the tendon and repositioning, shortening, or tightening it to achieve the desired cat - eye shape.
5. Closure and Dressing: After achieving the desired result, the surgeon will close the incision and dress it to prevent infection. They may also prescribe antibiotic eye drops, ointments, steroid eye drops, and/or artificial tears to relieve pain and discomfort.

Recovery from Canthoplasty

The recovery period for canthoplasty usually takes 2 to 3 weeks, but full recovery may take several more weeks. Here are the post - op care instructions:

• Rest: Rest your eyes and take time off from work or other commitments. This allows your body to heal and reduces the risk of complications.
• Ice Packs: Use an ice pack to ease swelling. Apply it gently to the affected area for short periods as directed by your surgeon.
• Eye Hygiene: Maintain good eye hygiene to prevent infection. Clean the wound as directed by your surgeon, using a mild, sterile solution.
• Avoid Eye Manipulation: Avoid rubbing, squeezing, or touching your eyes. This can delay healing or cause other complications.
• Contact Lenses: Stop wearing contact lenses for about 2 weeks to avoid straining the healing tendons.
• Medication Avoidance: Avoid certain medications, such as non - steroidal anti - inflammatory drugs (NSAIDs), platelet inhibitors, and anticoagulants, as they may increase bleeding.
• Eye Protection: Wear protective eye shields outdoors or while sleeping to avoid accidental injury or exposure to dust, pollen, and other irritants.
• Follow - up Visits: Attend post - operative visits as scheduled. Your surgeon will monitor the healing process and address any concerns you may have.
• Sunscreen: Wear sunscreen to protect your eyes from direct sunlight, which can slow healing and cause scar enlargement or skin discoloration.
• Medication Compliance: Take your prescribed pain medication, ointments, and/or eye drops as directed by your surgeon.

Canthoplasty in New York City

Top 10 Canthoplasty Doctors in New York City

Healthgrades has identified several doctors who perform canthoplasty and canthopexy in New York. Here are some of the top providers:

Cost of Canthoplasty in New York City

The cost of canthoplasty can vary significantly depending on several factors. According to RealSelf, the average cost of canthoplasty is $6,700, with a range of $1,081 - $11,999. Here are the factors that can affect the cost:

• Surgeon's Credentials: A board - certified oculoplastic surgeon with extensive experience and a good reputation may charge more for the procedure. Surgeons who are members of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) are often considered more qualified.
• Location: The location of the surgeon's practice can also impact the cost. In New York City, where the cost of living is high, the price of canthoplasty may be higher compared to other areas.
• Complexity of the Procedure: If the canthoplasty is combined with other procedures, such as blepharoplasty or canthopexy, the cost will be higher. Additionally, if the patient has unique anatomical features or requires a more complex surgical technique, the price may increase.
• Facility Fees: The type of facility where the surgery is performed can affect the cost. Surgery centers are often less expensive than outpatient hospitals, but they may offer fewer complimentary services.
• Anesthesia Fees: The cost of anesthesia, which is typically provided by a board - certified anesthesiologist, is also included in the overall cost of the procedure. The type of anesthesia used (general or local with sedation) can impact the fee.
• Presurgical and Post - surgical Care: The cost of presurgical care, such as medications and doctor's appointments, as well as the cost of follow - up visits and aftercare, should be considered when determining the total cost of canthoplasty.

Insurance Coverage for Canthoplasty

Canthoplasty is generally considered an elective cosmetic procedure, so health insurance will not cover it. However, if the canthoplasty is done to correct a medical condition, such as chronic dry eyes or eyelid malposition, it may be covered by insurance. It is important to talk to your doctor and insurance provider about pricing and coverage before committing to the surgery.

Choosing the Right Surgeon for Canthoplasty in New York City

Selecting the right surgeon is crucial for a successful canthoplasty procedure. Here are some tips to help you make the right choice:

• Credentials: Look for a board - certified oculoplastic surgeon who is a member of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). This indicates that the surgeon has received extensive training in ophthalmic reconstructive and cosmetic surgery.
• Experience: Consider the surgeon's experience in performing canthoplasty. Ask about the number of procedures they have done and request to see before - and - after photos of their patients.
• Reputation: Read patient reviews and testimonials to get an idea of the surgeon's reputation. You can also ask for referrals from other patients or medical professionals.
• Communication: Choose a surgeon who listens to your concerns and goals and is able to communicate effectively. They should explain the procedure in detail, answer all your questions, and help you make an informed decision.
• Facility: Ensure that the surgical facility is accredited and meets all safety standards. You may also want to consider the location and the quality of the services provided at the facility.

Conclusion

Canthoplasty is a popular cosmetic eyelid surgery that can enhance the appearance of the eyes and correct certain age - related and medical conditions. In New York City, there are many highly qualified surgeons who offer this procedure. However, it is important to understand the cost factors, risks,