Hello. Thank you for your question, and photo. Based on your photo alone, you may benefit from two ocular surgeries — canthopexy and canthoplasty. The first surgery will lift the corner of the eye. The second surgery will help tighten the lower eyelid. Only an in-person consultation with a board-certified plastic surgeon can confirm if these surgeries — or a combination of these surgeries with another procedure — will give you the results you want. You will want to select a board-certified plastic surgeon who has significant experience with this type of surgery and who can show you before and after photos of patients who have had this type of procedure, as well. I wish you good health and good luck.- Daniel Lensink, MD
Thank you for your photo. It appears that you have some scleral show (the white area showing below your eye) which can indicate that you have overly loose lower eyelids. This can cause your eyes to look tired or downturned. A solution to laxity of the lower eyelids is a canthopexy or canthoplasty which is an eye lift to tighten the corner of the eyelid and bring the angle upwards. You can simulate this by using a finger to gently push up and out on the corner of the lower eyelid. A small amount of lift can make a world of difference. Hope this helps!Johnson C. Lee, MDBoard-Certified Plastic Surgeon@drjohnsonlee