Canthoplasty - Uneven Eyelids, Pinched Corners 1 Month Post Op? (photo)

Typically, even the best or tightest canthoplasty will relax over time. In fact it is usually best to overtighten slightly in my opinion. Being one month out, your appearance at least from the limited photos appears appropriate. Good luck.

However, it is not that likely that the change you are seeing will return to the preoperative state even after a year.  The canthal angles have been over elevated.  This visually cuts into the normally exposed white sclera on the lateral aspect of the eyes.  This is why the eyes look smaller.  In addition I get the impression that the right upper eyelid is more ptotic or droopy after surgery.  Do give yourself time to heal but if things are not better by 6 months after surgery, you may decide to have revisional surgery.

I would agree with your plastic surgeon and my RealSelf colleagues. Your lower eyelids do appear slightly over-corrected (normal at this point in time) and you do have swelling. These issues should resolve with time. It sounds like you trusted your plastic surgeon enough to return for a second procedure and it is likely that this surgery will turn out as well as the last. I hope this information is helpful.Stephen Weber MD, FACS