Lateral canthoplasty is a useful method of restoring lower eyelid posi
tion and thereby protecting the ocular surfaces. The success of the la
teral canthoplasty procedure depends on the proper analysis of periorb
ital anatomy. Newer lateral canthoplasty techniques have become progre
ssively refined in an attempt to avoid the drawbacks and pitfalls of o
lder procedures. We present the inferior retinacular lateral canthopla
sty, developed to effectively address the problems associated with the
lower lid laxity and/or malposition. The inferior retinacular lateral
canthoplasty is a versatile reconstructive procedure that also can be
used as an adjunct to aesthetic surgery. The evolution of the inferio
r retinacular lateral canthoplasty from over 15 years of clinical expe
rience is discussed.