Algorithm for canthoplasty: the lateral retinacular suspension: a simplified suture canthopexy.

Results of aesthetic lower eyelid surgery have improved through a better understanding of the anatomy, indications for surgery, and more effective, individualized solutions for the varied problems. Most treatment options have the potential risk of inducing lower eyelid malposition if support is not applied through either canthoplasty or canthopexy. An algorithm for selecting the most appropriate method of canthal support in lower eyelid and midfacial rejuvenation is presented. A new, simplified, effective, and aesthetic suture canthopexy, the transpalpebral lateral retinacular suspension, is introduced; it can be universally applied.