My Eyes Slant Making Me Look Angry/tired? (photo)

There are a few surgical maneuvers that can help with the downward slant. This includes a canthopexy, and re-defining the upper lid crease laterally.The partial trade-off is that here may an extended incision laterally into the crow's feet area. A canthoplasty is another option that would drastically change the shape of you eye.

It looks like your upper lid is heavy and slanting. Correcting it really requires surgery to change the shape and remove the heaviness of the upper lid as well as the downward sloping of the lower lid. From what I can tell from the picture, I don’t think filler or even Botox would be helpful without surgery.

Usually, I wold say that doing a canthoplasty/canthopexy is not a great idea, but in your case, I might make an exception. You have what in the medical field is called lateral canthal dystopia, which used to be called "anti-mongoloid" slant to the eyes [this term has fallen out of favor for obvious reasons]. The lateral canthus is the outside corner of the eyes, where the upper and lower eyelids come together. The outside corner of the eyelid, is normally about 1-2 mm... more