What are my options for an outer eye lift?

I am wondering about different options for a younger person to undergo in order to recapture the eyes' upward tilt without leaving visible scars. I am wondering about different options concerning increasing the upward slant of the outer eye. I am 26 and have firm skin but have found from viewing pictures in high school that my eyes have "fallen" a bit.
 
I do not have bags under my eyes or wrinkles, so traditional skin-tightening procedures aren't exactly what I'm looking for. But I am interested in hearing all options, particularly ones producing minimal/hidden scarring. Are there perhaps suspension lifts that deal directly with this by tightening the upper cheek and temple area? This is my first exploration into cosmetic procedures that would address this issue, and I was at a loss on how to go about finding specific information that would pertain to me.

What are my options for an outer eye lift?
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16 answers to “What are my options for an outer eye...”

A: Outer eye lift

William Portuese, MD

It is impossible to have an upper blepharoplasty done without leaving a very tiny inconspicuous incision along the upper lid crease. Whatever excess skin is present laterally on the upper-outer eyelids, the surgeon has to make an incision there to be able to get rid of excess skin. This is usually blended... more

A: Only minimal intervention, if any

Richard Gentile, MD

I agree that surgery is too drastic for such a slight change you feel you see. A little filler can elevate the lateral lower lid and lateral canthus, which is what you are calling the "outer eye".

A: You'll get a great result with a canthopexy

Christopher L. Hess, MD

Fortunally you live in a city with a large number of plastic surgeons. Thank you for including pictures, it makes this so much easier. Your diagnosis is correct, you have loss of lower lid support and upper lid support at the lateral retinaculum. Okay a very medical word but it means the lateral corner of... more

A: You really do not need surgery

David Shafer, MD

You really do not need surgical intervention for your concerns. You may benefit by some Botox in the lateral orbital area to help "open up your eye" and filler, such as Radiesse in your cheek area. You are correct that you do not need traditional surgery at this point.

A: A simple filler injection will plump the cheek and help

Brooke R. Seckel, MD

I agree with the other doctors that your face looks very youthful. I would not mar your face with surgical scars. A canthoplasty at this early stage will adversely affect your eyelid shape. Please do not take offense, but honestly the main difference I see in your face in the latest picture is that you look... more

A: Lateral Canthal Tilt

Daniel Reichner, MD

As we age, our cheek fat pad begins to drop. This, along with peri-orbital deflation, increases the lid margin to cheek distance that we start to see in our late 20's. Laxity of the lateral canthal tendon and tarsal plate also progress with age. These factors tend to make the eye look rounder and less... more

A: I would not touch your eyes

Frank P. Fechner, MD

I appreciate the slight change you have been observing but I certainly would not recommend surgery for your eyes -- they look great and youthful! I do notice some subtle change in the volume distribution of the central cheeks below the eyes: you lost just a bit of volume in this region. This is not an issue... more

A: You may not need surgery at this point

Kenneth D. Steinsapir, MD

Dear Neopsytox, So do your really need surgery? Much of cosmetic surgery has nothing to do with aging and every thing to do with aesthetics. If you presented to my office, I would ask you how many hours a day do you spend thinking about your appearance, what shame values do you place on your looks, do you... more

A: No surgery

Kamran Khoobehi, MD

You have very youthful and attractive face. . Please look at your self and enjoy the the face you have. I would not recommend any procedures at this time.

A: Relax!

Robert M. Freund, MD

Although you may look different then 5 years ago, you still look beautiful. No surgery is indicated. However, I am often confronted with patients that do have a significant drop in their brow and extra sag of their upper lid as a result. For those patients, limited lateral browlifts do an excellent job without... more

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