Medial Canthoplasty - would this bring in my inner corners? (Photos)

Question

I’m looking to bring in my inner corners, giving them a sharper, more downturned appearance. What would this be? (I’m okay with results not being super dramatic.) Thanks.

Guray Yesiladali, MD, FEBOPRAS · Answer

Wanting to bring the inner corners in slightly and give them a sharper, more downturned look is a very specific goal. In most patients this appearance is not created by a single point or a single procedure. The inner canthus, the small part of the upper lid that shows at the inner corner and the position of the brows all work together.
Based on what can be seen in your photos there does seem to be a medial canthal component that might benefit from a canthoplasty type procedure. At the same time the little bit of tissue and skin that is visible from the upper eyelid in the inner corner and the way your brows sit over the eyes also seem to influence how that area looks. The photos are limited so all of these points would need to be checked carefully in person.
In some patients what first looks like a pure canthoplasty need actually turns out to be part of a more general frame issue around the eyes and temple. When the temporal and brow region is lifted and supported in a controlled way the shape of the eye opening and inner corner can look more defined and balanced even if the change at the canthus itself is kept quite conservative. Since you are aiming for a subtle effect planning in this conservative direction is usually more appropriate.
In a full face to face assessment a surgeon would examine the eye area with the brows completely relaxed, evaluate the medial canthus and inner corner shape, look at the small fold of upper lid skin at the inner corner and assess the temple and brow position. After that it becomes clearer whether a gentle medial canthoplasty type procedure, a limited adjustment of skin and soft tissue in the medial upper lid, a lifting procedure in the temporal brow region or a combination would best match the change you have in mind.
If you wish our patient consultants can arrange a free online evaluation using detailed photographs and your medical information so a surgeon can comment more specifically on the options that may suit your anatomy and expectations.
Please remember that this is a general opinion based only on photos and your written description. A final diagnosis and surgical plan always require an in person examination with a qualified surgeon and a full review of your medical history. Wishing you a smooth and well informed journey as you decide on the next steps for your eyes.

Medial Canthoplasty - would this bring in my inner corners? (Photos)

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