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Canthoplasty is a more invasive form of eyelid surgery than canthopexy, which is usually used as a cosmetic procedure. Because canthoplexy involves splitting and repositioning the tendon in the eye, as well as shortening the lower lid, it's often reserved for those patients suffering from functional problems with their eyelids. If you fall into this category, it's likely your insurance will cover the expense of the surgery (or some portion thereof). Overall, you'll get the same youthful results with canthoplexy, but you'll have the added benefit of a better-functioning pair of eyelids.