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.
