{"id":16159,"date":"2022-10-13T08:15:24","date_gmt":"2022-10-13T14:15:24","guid":{"rendered":"https:\/\/www.artefacial.com\/demo\/?p=16159"},"modified":"2026-05-28T17:22:55","modified_gmt":"2026-05-28T23:22:55","slug":"surgical-revision-of-a-cicatricial-canthal-web","status":"publish","type":"post","link":"https:\/\/www.artefacial.com\/en\/surgery\/surgical-revision-of-a-cicatricial-canthal-web\/","title":{"rendered":"Surgical revision of a cicatricial canthal web"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"16159\" class=\"elementor elementor-16159 elementor-16148\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-16d795e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"16d795e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9e9cd02\" data-id=\"9e9cd02\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4aecf920 elementor-widget elementor-widget-text-editor\" data-id=\"4aecf920\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: left;\"><a href=\"https:\/\/www.artefacial.com\/en\/rejuvenation\/a-surgical-technique-that-restores-a-youthful-eyelid-contour\/\">Lateral canthal<\/a>\u00a0webbing is one of the most difficult eyelid conditions to manage. Trauma and previous surgery are the main causes.<\/p><p style=\"text-align: left;\">Combining a Y-V advancement flap with Z-plasties is useful. This technique was first described by Guy Massry M.D.<\/p><p style=\"text-align: left;\">The first step consists of drawing the arms of the Y-V advancement flap. Next, two Z-plasty marks are drawn extending out from the Y.<\/p><p style=\"text-align: left;\">A 30-gauge needle is employed to inject 1cc of local anesthesia underneath the skin flaps.<\/p><p style=\"text-align: left;\">The skin flaps are incised with a #15 surgical blade.<\/p><p style=\"text-align: left;\">The next step consists of meticulous dissection of the skin flaps.<\/p><p style=\"text-align: left;\">Extreme care is taken to preserve the blood supply to the flaps.<\/p><p style=\"text-align: left;\">A high-temperature, or Bovie, cautery is used for hemostasis.<\/p><p style=\"text-align: left;\">Removing subcutaneous scar tissue will benefit the healing process.<\/p><p style=\"text-align: left;\">Mobilization of the Z-plasties completes de Y-V advancement.<\/p><p style=\"text-align: left;\">Multiple 6-0 Vicryl sutures are utilized to approximate the flaps.<\/p><p style=\"text-align: left;\">Complete rotation and apposition of the flaps is achieved.<\/p><p style=\"text-align: left;\">An improvement in the cicatricial web may be observed as soon as 3 weeks after surgery.<\/p><p style=\"text-align: left;\">For a detailed explanation, see the original article: Massry G. Cicatricial canthal webs. Ophthalmic Plast Reconstr Surg 2011 Nov-Dec;27(6):426-30.<\/p><p style=\"text-align: left;\"><a href=\"https:\/\/www.artefacial.com\/en\/contact\/\">Contact Us.<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-527b903 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"527b903\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9a99a11\" data-id=\"9a99a11\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d7a10b4 elementor-widget elementor-widget-video\" data-id=\"d7a10b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=9qg1N6l2T4U&quot;,&quot;lazy_load&quot;:&quot;yes&quot;,&quot;show_image_overlay&quot;:&quot;yes&quot;,&quot;image_overlay&quot;:{&quot;url&quot;:&quot;https:\\\/\\\/www.artefacial.com\\\/wp-content\\\/uploads\\\/2022\\\/10\\\/Surgical-revision-of-a-cicatricial-canthal-web.jpg&quot;,&quot;id&quot;:16161,&quot;size&quot;:&quot;&quot;,&quot;alt&quot;:&quot;Surgical revision of a cicatricial canthal web&quot;,&quot;source&quot;:&quot;library&quot;},&quot;lightbox&quot;:&quot;yes&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-lightbox\">\n\t\t\t\t\t\t\t<div class=\"elementor-custom-embed-image-overlay\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox=\"{&quot;type&quot;:&quot;video&quot;,&quot;videoType&quot;:&quot;youtube&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/embed\\\/9qg1N6l2T4U?feature=oembed&amp;start&amp;end&amp;wmode=opaque&amp;loop=0&amp;controls=1&amp;mute=0&amp;rel=0&amp;cc_load_policy=0&quot;,&quot;autoplay&quot;:&quot;&quot;,&quot;modalOptions&quot;:{&quot;id&quot;:&quot;elementor-lightbox-d7a10b4&quot;,&quot;entranceAnimation&quot;:&quot;&quot;,&quot;entranceAnimation_tablet&quot;:&quot;&quot;,&quot;entranceAnimation_mobile&quot;:&quot;&quot;,&quot;videoAspectRatio&quot;:&quot;169&quot;}}\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJ0eXBlIjoidmlkZW8iLCJ2aWRlb1R5cGUiOiJ5b3V0dWJlIiwidXJsIjoiaHR0cHM6XC9cL3d3dy55b3V0dWJlLmNvbVwvZW1iZWRcLzlxZzFONmwyVDRVP2ZlYXR1cmU9b2VtYmVkJnN0YXJ0JmVuZCZ3bW9kZT1vcGFxdWUmbG9vcD0wJmNvbnRyb2xzPTEmbXV0ZT0wJnJlbD0wJmNjX2xvYWRfcG9saWN5PTAiLCJhdXRvcGxheSI6IiIsIm1vZGFsT3B0aW9ucyI6eyJpZCI6ImVsZW1lbnRvci1saWdodGJveC1kN2ExMGI0IiwiZW50cmFuY2VBbmltYXRpb24iOiIiLCJlbnRyYW5jZUFuaW1hdGlvbl90YWJsZXQiOiIiLCJlbnRyYW5jZUFuaW1hdGlvbl9tb2JpbGUiOiIiLCJ2aWRlb0FzcGVjdFJhdGlvIjoiMTY5In19\">\n\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"512\" src=\"data:image\/svg+xml;charset=utf-8,%3Csvg xmlns%3D&apos;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&apos; 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Trauma and previous surgery are the main causes. <\/p>\n","protected":false},"author":2,"featured_media":16161,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22],"tags":[791,61,809,808],"class_list":["post-16159","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-surgery","tag-eyelid-scars","tag-eyelid-surgery","tag-facial-aesthetic-clinics","tag-lateral-canthal"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Surgical revision of a cicatricial canthal web in Costa Rica<\/title>\n<meta name=\"description\" content=\"Lateral canthal webbing is one of the most difficult eyelid conditions to manage. 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