medical canthus surgical written guide (1 Viewer)

[Redd harlow]

Setup & Sterilization — Your Mini-OR​

• Sterilize everything. Boil all tools (scalpel #11 or #15 blade, fine forceps, needle holder if suturing). Use 70% isopropyl alcohol on all surfaces.
• Surgical gloves and surgical hand scrub (use Hibiclens or similar) before every procedure.
• Work in a dust-free, well-lit room with minimal airflow disturbances.
• Have sterile saline, antibiotic ointment (mupirocin preferred), sterile gauze, and fine nylon sutures (6-0 or finer) ready.

---

2. Anatomy & Marking​

• Study your medial canthus anatomy meticulously — know the medial canthal tendon location, the skin folds, and avoid the tear duct area.
• Use a sterile surgical skin marker to mark a precise small incision along the natural medial canthal skin crease — ideally a 3–5 mm incision.
• Plan your incision to allow slight downward tension on the skin, mimicking the “downturned” canthus.

---

3. Anesthesia​

• Use topical numbing cream (lidocaine 5%) applied 30-45 mins before procedure, plus a local injection of lidocaine if possible.
• Avoid making deep cuts without anesthesia; pain causes muscle twitching and risks inaccurate cuts.

---

4. The Incision & Manipulation​

• Make a single, shallow incision through the epidermis and superficial dermis — no deep cuts!
• If you’re skilled and equipped, gently insert a non-absorbable 6-0 nylon suture through the dermis and anchor it to the subcutaneous tissue beneath to pull the medial canthus skin downward. This mimics the tendon repositioning.
• Tie the suture with enough tension to create a subtle downward pull without strangulating tissue.
• Avoid multiple incisions or repeated trauma; one precise attempt is better.

---

5. Wound Closure & Care​

• Close the incision with a fine nylon suture or use steri-strips if suturing is not feasible.
• Apply topical antibiotic ointment immediately.
• Cover with sterile gauze, change daily with saline rinses and ointment.
• Use silicone gel sheets after wound epithelializes (5–7 days) to minimize hypertrophic scarring.

---

6. Recovery & Timing​

• Wait minimum 6–8 weeks before touching the same area again. Scar tissue needs time to mature and contract.
• Avoid sun exposure, smoking, heavy sweating, or any trauma to the area during healing.
• Monitor for infection daily — redness spreading, swelling, pus mean stop immediately and seek professional help.
• Use gentle massage with silicone gels after week 2 to optimize scar remodeling.

---

7. Repeat Intervention (If Needed)​

• If you feel further adjustment is needed after full healing, repeat the procedure carefully only once every 6-8 weeks, following the exact protocol above.
• More frequent attempts will cause scar chaos and damage.

---

8. Realistic Outcome & Risks​

• This is a skin-tension and scar-contracture mimicry of tendon repositioning, not true anatomical repositioning.
• Expect variable results — asymmetry, hypertrophic scars, or mild irritation are possible.
• Serious complications (tear duct damage, blindness) are unlikely if you avoid deep cuts and keep sterile.
• The aesthetic will never fully match surgical medial canthoplasty but can create a subtle downturned effect.

---

Summary​

Step	Action	Timing
Preparation	Sterilize tools, gloves, clean environment	Before each session
Marking	Precise skin incision planning	Right before procedure
Anesthesia	Topical + local numbing	30-45 mins before incision
Incision & Suture	Single shallow cut + tension suture	One time per session
Closure & Care	Antibiotic ointment, sterile dressing	Daily dressing changes
Healing	Silicone gels, sun avoidance, massage	Start after wound closes
Repeat	Only after 6-8 weeks if needed	Minimal repeats recommended

Time	What Happens / What to Do	Outcome / Effect
Day 0	First precise superficial incision + suture for tension	Initial wound, redness, swelling
Days 1-7	Wound heals, apply antibiotic ointment and keep clean	Scab forms, early collagen laid down
Week 2	Wound epithelialized, start gentle silicone gel or sheet therapy	Scar starts forming, skin tightens slightly
Weeks 3-4	Scar matures, collagen contracts; skin begins pulling downward	Subtle visible medial canthus downturn begins
Week 6	Second session if needed — repeat precise superficial incision	New wound initiates fresh scar remodeling
Weeks 7-8	Healing of second incision, continued silicone therapy	Stronger, more defined scar contraction
Weeks 9-12	Scar remodeling continues, skin tightens further, look improves	Noticeable, permanent downturned medial canthus effect
Week 12+	Optional third session (only if needed)	Further refinement, permanent skin reshaping

 

[Redd harlow]

View attachment 17571

Setup & Sterilization — Your Mini-OR​

• Sterilize everything. Boil all tools (scalpel #11 or #15 blade, fine forceps, needle holder if suturing). Use 70% isopropyl alcohol on all surfaces.
• Surgical gloves and surgical hand scrub (use Hibiclens or similar) before every procedure.
• Work in a dust-free, well-lit room with minimal airflow disturbances.
• Have sterile saline, antibiotic ointment (mupirocin preferred), sterile gauze, and fine nylon sutures (6-0 or finer) ready.

---

2. Anatomy & Marking​

• Study your medial canthus anatomy meticulously — know the medial canthal tendon location, the skin folds, and avoid the tear duct area.
• Use a sterile surgical skin marker to mark a precise small incision along the natural medial canthal skin crease — ideally a 3–5 mm incision.
• Plan your incision to allow slight downward tension on the skin, mimicking the “downturned” canthus.

---

3. Anesthesia​

• Use topical numbing cream (lidocaine 5%) applied 30-45 mins before procedure, plus a local injection of lidocaine if possible.
• Avoid making deep cuts without anesthesia; pain causes muscle twitching and risks inaccurate cuts.

---

4. The Incision & Manipulation​

• Make a single, shallow incision through the epidermis and superficial dermis — no deep cuts!
• If you’re skilled and equipped, gently insert a non-absorbable 6-0 nylon suture through the dermis and anchor it to the subcutaneous tissue beneath to pull the medial canthus skin downward. This mimics the tendon repositioning.
• Tie the suture with enough tension to create a subtle downward pull without strangulating tissue.
• Avoid multiple incisions or repeated trauma; one precise attempt is better.

---

5. Wound Closure & Care​

• Close the incision with a fine nylon suture or use steri-strips if suturing is not feasible.
• Apply topical antibiotic ointment immediately.
• Cover with sterile gauze, change daily with saline rinses and ointment.
• Use silicone gel sheets after wound epithelializes (5–7 days) to minimize hypertrophic scarring.

---

6. Recovery & Timing​

• Wait minimum 6–8 weeks before touching the same area again. Scar tissue needs time to mature and contract.
• Avoid sun exposure, smoking, heavy sweating, or any trauma to the area during healing.
• Monitor for infection daily — redness spreading, swelling, pus mean stop immediately and seek professional help.
• Use gentle massage with silicone gels after week 2 to optimize scar remodeling.

---

7. Repeat Intervention (If Needed)​

• If you feel further adjustment is needed after full healing, repeat the procedure carefully only once every 6-8 weeks, following the exact protocol above.
• More frequent attempts will cause scar chaos and damage.

---

8. Realistic Outcome & Risks​

• This is a skin-tension and scar-contracture mimicry of tendon repositioning, not true anatomical repositioning.
• Expect variable results — asymmetry, hypertrophic scars, or mild irritation are possible.
• Serious complications (tear duct damage, blindness) are unlikely if you avoid deep cuts and keep sterile.
• The aesthetic will never fully match surgical medial canthoplasty but can create a subtle downturned effect.

---

Summary​

Step	Action	Timing
Preparation	Sterilize tools, gloves, clean environment	Before each session
Marking	Precise skin incision planning	Right before procedure
Anesthesia	Topical + local numbing	30-45 mins before incision
Incision & Suture	Single shallow cut + tension suture	One time per session
Closure & Care	Antibiotic ointment, sterile dressing	Daily dressing changes
Healing	Silicone gels, sun avoidance, massage	Start after wound closes
Repeat	Only after 6-8 weeks if needed	Minimal repeats recommended

winners keep ascending loser keep losing

 

[Redd harlow]

best proper guide written in the whole world if you are into it try it this absolute way no queestions

 

[TheCoolDude2000]

all the 14 year old tiktokcells are gonna love this

 

[Redd harlow]

all the 14 year old tiktokcells are gonna love this

i do this and love this jfl i wish for billions to do this (iq above double digits is needed tho) not my fault you fucked your eye :dicapriocheers:

 

[Hernan]

nobody please do this.