What Technique To Get Almond Shaped Asian Eyes? (photo)

First of all, names can be confusing so let's sort that out.
Canthopexy is when your edge of your eyes is fixed usually only with sutures, sometimes with a small hole made in the bone to reposition your lateral eyelid position.
CanthoPLASTY is when you manipulate the lateral eyelid so that you are not only changing the position usually with a stitch also but doing something else to it, refine it by cutting some tissues out, shortening the lower eyelid amongst other things. But hey, what's in a name because in Asian eyelid surgery it gets more complex.
In Asian eyelid surgery the Almond eyes shape you're talking about is achieved via Epicanthoplasty- stay with me here- epicanthoplasty is surgical technique to modify and improve the shape of your eyelid that is closest to your nose but can also be to the outside aspect closer to your ears. In Korean you called this a "Front opening" and "Back opening".
These epicanthoplasty procedures, "Front +/- back opening" procedures can be a addition to the typical double eyelid surgery where it aims to create a more Almond shaped eyes like you describe. A lot of Asian eyelids have what's known as medial epicentral fold and by "opening" this up you get a more of an Euroasian look which is what most of my patients come to me to request. It's still your eyes, not a Western eyes but a subtle change that still identify you as an Asian person,
Wish you the best in your journey.
Dr Leo Kim, Specialist Plastic Surgeon in Sydney

Some Asians have a well defined epicanthic fold while others have less of one.  I try not to change the epicanthic fold when I perform eyelid surgery. It is difficult to achieve a natural result and it would require scars in an area of the eyelid where you really wouldn't want one.

You are right in not wanting to “Americanize” or “Europeanize” your eyelids as that would result in a very unnatural appearance.

Asian eyes require delicate finesse with the typical epicanthal fold that lies in front of the eye so that proper surgery does not mar the natural beauty of this type of eye. These surgeries are often referred to as Double Eyelid Surgery as approximately half of Asians have a “single fold” and half have a “double fold”.  If you do internet research, you will many different styles and techniques for Asian Eyelid Surgery.

Creating a natural appearance in the Asian eyelid is complex, so I take into account the age and gender of the patient. I avoid removing too much skin or fat which is a common technical error made by surgeons less familiar with Asian eyes.  Proper surgery begins with a design which is drawn prior to the procedure. Many of my Asian patients fly to New York from all over the world asking me to do revisional surgery on their Asian Eyelid surgery because they are not happy with scars which go outside the natural crease and are difficult to manage.