Would a Canthoplasty or an Upper Blepharoplasty Surgery Benefit my Eyes? (photo)

What a canthoplasty achieves is proper positioning of the outside corner of your eyes, otherwise known as the lateral canthas. A lateral endoscopic brow lift is another potential consideration to help support the soft tissue and the lateral aspect of your eyes. A conservative upper blepharoplasty will also effectively eliminate the "weighed down" look you're noticing around your eyes.

You should consult with a board certified facial plastic surgeon for a full assessment of your options. To get a sense of  the permanent improvement a brow lift can give, you may want to try an injectable Botox treatment as a temporary solution to relieve the heaviness you feel around your eyes.

Certainly combining any or all of these procedures, as appropriate, is commonly done. This also makes the most sense, since you will receive the results you are looking for with a much shorter recovery time.

Conservative upper blepharoplasty can help achieve your goal but NOT canthoplasty.  Again, do NOT do canthoplasty.  See an oculoplastic surgeon.

          Canthoplasty will not help to achieve your goal.   A conservative skin only upper blepharoplasty can get you closer to your goal.   Find a plastic surgeon with ELITE credentials who performs hundreds of eyelid surgeries each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

From your photo, it appears that the primary problem is heavy and low-riding brow tissue.  While difficult to evaluate without seeing you personally, it may be that a browplasty would do more to correct your concerns than eyelid surgery.

Thank you for your photographs. Your upper lid has some excess skin that may require surgery to improve the contour.  I would not recommend any surgery for your lower eyelids.

Dr. ES