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.

Considering the surgery was done approximately 1 month prior to your posting of your questions, it is important to realize that full healing after eyelid surgery requires approximately 6 months or up to 1 year for healing. In my practice I observe my patients on approximately every1 to 2 month during their follow up visits. Then I make decisions along the way based on my experience on whether or not any type of intervention is necessary.

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.