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If this were your unoperated appearance, it would be possible to lift the outer corners with canthoplasty. Think of a canthopexy as as a stabilizing procedure. However, you have more going on here. You appear to have had transcutaneous lower blepharoplasty with a skin incision that was continues into a visible area in the lateral orbital rim area. Loss of soft tissue volume in this area contributes to an hour glass deformity. While you do not have a radical shortening across the width of the lower eyelid, the left eyelid in particular is bowed down. During a detailed consultation, the effect of this compromised would be assessed to determine if your reconstruction benefit from a posterior graft. In some of these eyelids, the lower eyelids are actually much more compromised that they first appear. Internal scaring robs these eyelids of their natural elasticity compromising their blink function. I also note that you have lateral eyebrow flare with a large lateral upper eyelid platform exposure from a high upper eyelid crease. It is possible to address all of these changes. Don't work with surgeons who cannot spend time with you to educate you regarding your finding. Don't work with surgeon who want to schedule a surgery for you after a "Skype" or "Zoom" consultation. Your eyes can be your best feature.
Yes, this can be resolved using lateral canthopexy. You would benefit from a consultation with a board certified plastic surgeon. From your pictures, you appear to be in good health and young, so the muscle and skin have good tone. This procedure is simpler than a canthoplasty. A Skype or FaceTime consultation with a board certified plastic surgeon will help you get an accurate recommendation and pricing. Respectfully, Arian Mowlavi MD, FACSRealself 100 Hall of Fame Inductee
Thanks for reaching out. You are not alone. I have seen similar sad things happen to other patients who came to me for a consult on how to treat the hyperpigmentation and hollowing and/or irregularities in contour under the eye. It appears to me from your pictures that you have...
Thanks for the great question and photos. Everyone has some degree of facial asymmetry. As you mentioned in your question, you're noticing some mild brow asymmetry with your right sitting slightly lower than your left. I do not think, from your photos, that you have a lazy eye but that...
To be quite honest, your brow position is quite good and lifting it further WOULD in fact give you an exaggerated, suprised look. The "size" of the eye is determined by the size of the bony eye socket, in addition to the eyelid position. So if you have a smaller eye socket, your eyes will look ...
