Eye Surgery - Can the Medial Canthus Be Lowered?

I know the lateral canthus can be raised to give a more exotic look (canthoplasty), but in relation to my face, my lateral canthus is already high enough, and the only way to acheive a more exotic eye whilst keeping my face in balance would be to lower the medial canthus. (My eyes are already too high for my face, so this is my only option). However, I don't know if this is possible?

Doctor Answers (7)

Lowering the Medial Canthus


Attempts at lowering the medial canthus for cosmetic purposes are truly, "messing with mother nature". Realignment of intercanthal distance with relation to the medial canthus for trauma and/or reconstructive purposes is technically challenging and not always predictable.  Don't ask anyone to do it...... you might find someone who will try.

Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 38 reviews

Lowering medial canthus NOT recommended


This is not possible. Let me rephrase this, it is NOT recommended!!!!!  The medial canthal area can be repositioned and is done for people who have poorly corrected maxillofacial trauma or born with craniofacial deformities.  It is a sophisticated operation. The medial canthal area has several critical structures and base on this should be approached with VERY careful consideration.


Earl Stephenson, Jr., MD, DDS
Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

Bad idea to lower medial canthus


I would be very wary of any surgeon that will alter both the medial and lateral canthii.  In my opinion, the "exotic" look of a raised lateral canthus looks fake  and even deforming in some patients.  Unless you have a special problem, I would not change the canthii at all.

David Shuter, MD
Jupiter Plastic Surgeon
5.0 out of 5 stars 3 reviews

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Medial canthus be lowered


Any thing is possible but is it recommended for a purely cosmetic reason. I think NOT!!! Please re evaluate your position and your realistic expectations.

From MIAMI Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon
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Lwering the Inner Corner of the Eyes


The Medial canthus can be manipulated in Reconstructive surgery which usually involve cancer, webbing and facial fractures. Because of its relation to the tear duct and attachment to the inner eye socket few, if any, Plastic surgeons would attempt to relocate it for purely superficial cosmetic reasons.

Peter A. Aldea, MD
Memphis Plastic Surgeon
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Medial canthus


The medial canthus is usually not manipulated for aesthetic concerns. This is usually performed for extreme cases like bad facial fractures or for children with facial anomalies.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Medial canthus can't be lowered


 The medial canthus cannot be lowered for cosmetic reasons due to it's attachment to the nose.   Make an appointment to have your eyes evaluated by to see if there are options.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.