Many patients desire youthful almond shaped eyes, and there are many ways to produce them, but the treatment should not be complicated if the desires are simple. I believe a midface lift could produce this partially by recruiting volume from the lower cheeks providing increased support and secondarily lifting the corners of the eyes. If you desired simply a change to the shape of your eye, I would address this directly by elevating the corners of your eyes, and supporting the lateral ligament to the bone of you orbital rim by performing a canthopexy. If you did not like it, or wanted more or less almond shape, the suture can be adjusted, leaving you in control. If you desired elevation of your midface to fill volume beneath your eyes, a midface lift would be most commonly combined with a canthopexy to provide a natural result. As in any surgical procedure, the list of possible complications and recovery needed after the combined procedures is more involved and longer.