Is It Possible to Alter Eye Shape by Making Them Appear Smaller?

Changing eye shape is a surgery that can contain many risks and unpredictable outcomes.  If you want to experiment with a non-surgical change in eye shape, you can get botox/dysport over your eyes, and get an eyelid droop intentionally and see how you like this.  Less of your eye will be covered, and you may like this.  If you don’t like it, you will only have to live with it about 3-4 months.  Unlike surgery, this is temporary.  I would venture to say you look good with eyes squinted or not.  Don’t allow your perception to be defined only by your eyes.

Answering this question in a meaninful way cannot really be done without a personal consultation.  I have developed a vertical midface lift over a hand craved ePTFE orbital rim implant that can be used as the basis for augmenting the orbital rim and lengthening the lower eyelids.  There are many circumstances where this maneuver makes a profound difference for the individual.

You describe congenital relative lower eyelid retraction.  That can be caused by "retracted" lower lids, poor cheek bone (maxilla), and/or relative buldgy eyes (proptosis).  There are various options to surgically and nonsurgically correct these depending on the exact problem.  Consult an oculoplastic surgeon.

Dr Taban

 You should consider having an examination with an opthalmologist to determine the exact nature of the large eye issue.  is it from a malpositioned lower eyelid or Proptosis (bulging eye).  Proptosis should have a medical workup to rule out medical causes. 

Yes, it is possible to change the shape of the eyelid opening and make the eye appear smaller.  This can be achieved by performing a surgical procedure called a lateral canthoplasty.  In this procedure the lateral corner of the eyelid opening is tailored and repositioned to make the eyelid opening shorter and helps elevate the lower eyelid which makes the vertical height of the opening smaller as well.