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Most women consider large eyes to be beautiful and believe that they may leave a favorable impression on others. Oculoplastic surgery is increasingly being performed to help individuals achieve this kind of physical appearance, and lateral canthoplasty is a type of surgical procedure that horizontally expands the palpebral fissure. The location where the lower eyelid is attached to the lateral canthal area is important in determining the shape of the palpebral fissure, and this location can be changed by lateral canthal anchoring during a lateral canthoplasty. Many East Asians have eyes that are horizontally short and have an upwardly slanted palpebral fissure (i.e., the Mongolian slant). Their eyes can be enlarged through appropriate canthotomy and lateral canthal anchoring, which may result in a softer look. By performing a lateral canthoplasty and 2 rounds of lateral canthal anchoring, in which the tarsal plate was firmly fixed to the periosteum through a tarsal bite, we were able to correct the Mongolian slant and widen the lateral scleral triangle. CASE

Cosmetic Lateral Canthal Lengthening with 2 Tarsal Bites Made in the Periosteum