Why do many women have smaller eyes after a facelift?

Depending on the laxity of the skin of the lower eyelids it is not uncommon for a surgeon to perform a procedure called a canthoplasty or canthopexy, which can temporarily give the eyes a smaller appearance. With time however, the normal eye shape should return which usually takes about 2-6 weeks.

The only procedures that result in smaller eyes are procedures which tighten, lift, or add volume to the lower eyelid or cheeks.  Lower face and neck lift surgery does not alter the shape or size of the eyes.  Just be careful with procedures around the eyes especially lower eyelid or cheek lifting proedures.  

 A properly performed facelift will not affect the shape of the eyes. The goals of a lower face neck lift are  to tighten the jowls, tighten loose facial and neck skin, tighten loose facial and neck muscles, and remove fatty deposits in the neck. This has nothing to do with the shape of the eyelids.