Background <p>Reconstruction of the medial canthus, particularly reattachment of the medial canthal tendon (MCT), is technically demanding because of the intricate anatomy and the risk of tendon trauma during fixation. Stainless steel/Titanium wire canthopexy offers reliable mechanical strength but requires precise and atraumatic passage through the MCT, which can be challenging.</p> Objective <p>To describe a simple, cost-effective alternative to commercially available barbed wire systems for secure MCT fixation, using materials readily available in the oral and maxillofacial surgery armamentarium.</p> Technique <p>An innovative technique is presented in which commonly available surgical wire and instruments are adapted to facilitate controlled, atraumatic passage through the MCT and stable fixation to the medial orbital framework. This method reproduces the functional advantages of swaged needle–based barbed wire systems while avoiding their cost and limited availability.</p> Conclusion <p>This cost-effective and reproducible method provides a practical alternative for medial canthal reconstruction and MCT reattachment without compromising surgical stability or outcomes.</p>