Restore natural eyelid contours and eliminate post-surgical scarring with expert care from David Isaacs, MD, our expert dual-fellowship trained oculofacial plastic surgeon. Canthal webbing and eyelid scar revision can treat visible skin bridges, obscured canthal angles, tight or puckered scars, asymmetry, and obstructed side vision, helping you regain both aesthetic harmony and comfort around the eyes.
Improve Eyelid Symmetry and
Scar Appearance
Canthal webbing is a post-surgical deformity that can occur after blepharoplasty, often caused by vertical skin deficiency and scarring near the inner (medial) or outer (lateral) corners of the eyes. The resulting web-like skin bridge can obscure the natural contour of the canthus, leading to aesthetic concerns or, in some cases, functional problems like restricted peripheral vision. Meanwhile, poorly healed incisions can lead to visible, raised, tight, or asymmetrical eyelid scars that affect the eyelid’s appearance or mobility.
Both conditions (canthal webbing and eyelid scars) can be corrected through surgical techniques. Canthal webbing may be addressed using Z-plasty, advancement flaps, skin redistribution, or epicanthoplasty, depending on the location and severity of the issue. Eyelid scar revision may involve scar excision and reconstructive flaps. Dr. Isaacs also uses advanced wound modulation techniques to support optimal healing and reduce future scarring.
Canthal Webbing & Eyelid Scar Revision Treat:
- Webbing at the inner or outer eye corners
- Scarring from previous eyelid surgery
- Obscured canthal angles or eye shape distortion
- Tight or puckered eyelid skin
- Vision blocked during side gaze
- Asymmetrical or irregular eyelid contours
- Excess skin or tension near surgical incisions
Dr. Isaacs’ Approach to Canthal Webbing Treatment & Eyelid Scar Revision
Canthal webbing treatment
Dr. Isaacs carefully evaluates the degree of webbing, your skin quality, and any prior incisions to develop a plan that restores your natural canthal shape. The goal is to correct the vertical skin deficiency, realign tissue tension, and achieve an aesthetically pleasing, functional result. Depending on your unique case, Dr. Isaacs may use one or more of these techniques:
- Z-Plasty: A geometric flap technique that reorients scar tension and improves skin mobility
- Advancement Flaps: To stretch and reposition adjacent skin to cover the area of deficiency
- Skin Grafting: Harvesting skin from behind the ear or another discreet area to restore volume
- Epicanthoplasty: When medial webbing is associated with prominent epicanthal folds
- Scar Excision and Revision: To remove hypertrophic or irregular scar tissue and reconstruct the area with precise closure techniques
He often combines surgery with post-operative wound modulation, such as off-label corticosteroid or 5-fluorouracil injections, to prevent excessive scar formation. His detail-focused, conservative approach ensures the most refined and natural outcome possible.
Eyelid Scar Revision
Dr. Isaacs carefully examines your scar’s size, location, texture, and impact on eyelid function. He may perform scar excision followed by meticulous layered closure or use reconstructive flaps to restore natural contours and movement. If skin is tight or deficient, he may reposition adjacent tissue or use a small skin graft from a discreet donor site. His goal is to restore both aesthetics and eyelid mobility while minimizing further scarring.
Schedule Your Consultation
David Isaacs, MD, is a dual-fellowship trained oculofacial plastic and reconstructive surgeon with advanced expertise in revision eyelid surgery. Known for his meticulous technique and patient-centered care, he dedicates 1.5 hours to each consultation to fully understand your concerns and develop a tailored, honest treatment plan. Schedule your consultation to explore your options for canthal webbing and eyelid scar revision in Beverly Hills.
