Each has a different flavor. I recommend that you do your homework and consider several consultations if you travel to Los Angeles. I personally feel that depending on the issue, more robust methods often produce better long results that methods that cut corners. You really want as few of these reconstructions as possible. Canthal surgery does not have the power to fix these issues on its own. Tightening the lower eyelid simply will cause the lower eyelid to end up lower on the eye. For this reason, the shape of the lower eyelid needs to be controlled and cheek skin needs to be lift up into the lower eyelid to help lengthen the lower eyelid. Study my website which has a great deal of information on these options.