Will Inner Eye Widening Damage The Lacrimal Ducts?

Q: Dr. Eppley, Will inner eye widening cause any problem to the eyes’ tear system? And is there anyway to basically reduce the medial area while keeping the lacrimal lake? Like while keeping the medial canthi reducing the sclera?

A: It is done medial to the lacrimal punctums/ducts. The procedure works because of the lacrimal lake reduction not the medial canthal tendon…meaning you can’t shorten the medlal canthal tendon laterally due to its bony anchorage.

Dr. Barry Eppley

World-Renowned Plastic Surgeon