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Procedure for Drooping Eye Corners?

My eyes droop downwards at the corners just above the cheek and you can see right into the red stuff that surrounds the eyes (usually hidden). Is there anything I can do to fix this?

(I'm the guy with the blue t-shirt on; not the best photo but you can still see the droop!)

Asked 31 months ago by gareth beacom in Belfast

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lower eyelids sagging

Correcting eye shape

Correcting a drooping outer eye is a challenging position. It often combines the lower eyelid, the cheek, the cannthus, the upper eyelid and the lateral brow. Unless the lower eyelid alone has a problem (looseness or prior surgery pulling it down), all five of these measures are usually necessary to achieve a haronious, balanced result. It can make a dramatic difference in a patient's appearance, particularly in reducing the "sad" appearance many patients have. Below two... more

Doctor's Website

Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Normal anatomy, but can be improved

From the picture this looks like a normal variant, but it may still concern you. The corners of the eyes can be picked up with a canthopexy or canthoplasty, and reshape the eyelid "aperture" into a more pleasing shape.

Navin K. Singh, MD

Washington DC Plastic Surgeon

ASAPS ASPS

Several options for repair

In the photo I noted that your corners of the eyelids are droopy and loose. This is your normal anatomy that you had when you were born. I also see that the whites of your eyes are visible the entire length of your eyelid, not just on the corners. A cantopexy or canthoplasty may help but to lift the entire lid, a lower eyelid spacer may need to be placed also. You may need to see an eyelid specialist for this one.

Chris Thiagarajah, MD

Washington DC Oculoplastic Surgeon

The procedure for correcting droopiness of the corners of the eyes is known as "canthopexy"

The procedure for correcting droopiness of the corners of the eyes is known as "canthopexy". Alternatively, a "canthoplasty" may be required to reconstruct the lower lid, the goal being to bring the tension and support, as well as the position, back to its usual, normal position. Both of these procedures can be performed through a very small incision at the corner of the eye. Canthopexy or canthoplasty are commonly performed at the same time as a rejuvenating eyelid... more

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Michael R. Macdonald, MD

Bay Area Facial Plastic Surgeon

Canthoplasty and/or canthopexy for drooping eye corners

A canthoplasty and/or canthopexy can be performed to bring up the outer corners of the lower lids. This is performed as an outpatient procedure where the lower lid is brought up and resutured to the orbital rim to make a more natural fitting contour. An oculoplastic surgeon with many years of experience is probably the best person for this type of problem.

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William Portuese, MD

Seattle Facial Plastic Surgeon

Drooping eyelids can be fixed

It is hard to see clearing from the picture that you provided. However, if your eyelid is drooping for pulling away from your eye, then there are procedures that can help. Have you had any previous procedures? Is this a new finding or has it been present your whole life? It is best that you see a plastic surgeon who specializes in eyes. Good luck.

David Shafer, MD

New York Plastic Surgeon

ASPS

Canthopexy can help drroping corners of the eyelids

You need a consultation with a board certified plastic surgeon who specializes in eyelid surgery. If you have an ectropion a procedure called a canthopexy may help.

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Brooke R. Seckel, MD

Boston Plastic Surgeon

ASAPS ASPS

Droopy Corners of the Eyes

I enlarged your photo and looks like you have ectropion. You did not mention any previous surgeries. Usually it happens after lower eyelid surgery. If this is the case then I am concerned about some medical problem like thyroid etc. You should see an Internist and get checked for that and an ophthalmologist. ' Once you have done the above, you can get it fixed by getting lower eyelid canthoplasty procedure. Regards

Tanveer Janjua, MD

Bedminster Facial Plastic Surgeon

Correcting the shape of the lower eyelid

Dear Gareth, The photo you submitted accentuates the droop to the lower eyelid (when your face is pointing down and you are looking up, your lower lid will appear lower.) You should evaluate yourself with your face in a horizontal plane (parallel to a wall mounted mirror.) Fine points aside, I'm sure you are correct that you have a lateral sweep to your lower lid. This is commonly due to lower lid laxity, and can be corrected with a canthopexy (minor weakness), or canthoplasty (for... more

Michael A. Bogdan, MD

Dallas Plastic Surgeon

ASAPS ASPS

Drooping eye corners

There are many potential reasons for "drooping eye corners" You must look at the brow, upper eyelid, canthal support mechanisms, lower eyelid, and cheek. Any and all of these anatomic structures can contribute to your problem. Therefore, I would highly suggest that you see a plastic surgeon to discuss your specific problem and recommended treatment options.

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

A few things to think about

You do have some droop, but also, it has to do with head position and gaze. Still, there is some droop. You also appear to have under developed cheek bones. You would do well with a lower lid elevation procedure and maybe cheek inplant. sek

Scott E. Kasden, MD

Dallas Plastic Surgeon

ASAPS ASPS

Drooping lower lids

With sagging lower lids, you may have weakness of the lower lids. I good physical exam will determine what type of surgery if any that you need. What was the cause? Is this something that you have had your whole life, or did you suffer an accident?Sometimes it is as easy as lifting the corner of the eye to secure it better( canthopexy). Sometimes a more formal reconstruction of the canthus is required called a canthoplasty. If you have scarring from previous surgery you may need skin... more

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Drooping Eye Corners with White Show

Greetings Gareth, For some reason your lower lids are either loose or do not have enough support at their base with the cheek. This results at first with White (Scleral) Show - the seeing of the white of the eye just over the central part of the lower lid in looking straight forward. As the condition worsens, the lower lid everts forward, does not make good contact with the globe and tears run over the lid resulting in eye redness. The list of reasons that lead to are are associated with... more

Peter A. Aldea, MD

Memphis Plastic Surgeon

ASPS

Scleral show

You have what is know as scleral show. This can be caused by different anatomical situation and so the treatment is variable. Sometimes it is due to weakness or looseness of thelid itself, usually in the elderly amd is treated by some form of lid tightening. Sometimes it is due to lid shortening by scarring or congenital conditions. Lack of bony support under the eyelid can give a polar bear appearance and may require hard tissue support with implants. I suspect that this is, in part, your... more

Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

ASPS

Drooping eye corners can be corrected.

Hi! You need something called a canthopexy. Canthus is the corner of the eye, and pexy means lifting. Some people also need a mid face lift. These procedures can be very effective, but they are difficult. So you want to go to a really experienced oculoplastic surgeon.