Will Medial Canthal Tendon Repositioning Improve My Mild Hypertelorism Appearance?

Q: Dr. Eppley, I have mild hypertelorism, which creates the appearance of pseudoesotropia. Is it possible for an adult patient to undergo surgery for aesthetic reasons to address this issue? I would be satisfied if only the medial canthi could be moved closer together, without repositioning the entire orbits. Unfortunately, I do not have epicanthal folds, so medial epicanthoplasty is not an option for me.

If a procedure like the one shown in the attached image is not available for cosmetic purposes, could medial canthal tendon repositioning produce a similar result, and would such a procedure be feasible in my case?

A:Without seeing the picture I can’t say whether medial canthal tendon repositioning would be helpful in your case. However given the incisions needed to do medial canthal tendon repositioning I would be very cautious about whether those scar trade-offs would be worthy of it even if the repositioning procedure would be beneficial.

Dr. Barry Eppley

Plastic Surgeon