My Eye slants are tilted downwards. Besides you can see too much "white of the eye" What are my surgical options? I´m 22 years old.
My Eyes are Tilted Downwards at the Ends, What are my Surgical Options? (photo)
Doctor Answers 4
Correcting tilt of eyelids
It is impossible to answer your question just from looking at the photos you posted. Normally the outer corners of the eyes should be about 2mm above the inner corners of the eye. Your outer corners are obviously and well below the level of the inner corners. The surgical options can be some combination of canthopexy/canthoplasty (tightening of the outer corner ligament), bone surgery to reposition the cheek bone/zygoma or placement of implants to correct for bone deficits. You also need more close examination to make sure you do not have a mild form of a craniofacial deformity such as Treacher Collin's.
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In my experience, surgically addressing this is likely to provide more harm that good.
Downward tilting eyes and correction with canthopexy
Your canthal angle or the angle of the palpebral fissure is indeed very low. You are young and at least from the picture do not appear to have tarsal laxity. what this means is that a procedure called canthopexy in which the corner of your eye is elevated to just above horizontal will fix this issue while maintaining a natural appearance. You do also appear to have an under-projecting zygoma which tends to go along with your eye findings. Combining fat grafting to the malar (cheek) area and a canthopexy would be a terrific aesthetic improvement for you. I hope this helps!
All the best,
Rian A. Maercks M.D.
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To raise the lower eyelids
There are several options. Without a photo of your entire face it is difficult to judge. The lower eyelids can be raised especially in the cornes to improve the angle. However that being said I would want to look at your cheeks and see how much support you have there. This can be improved upon but without a full face photo the exact recommended procedure is tough.
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