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Canthoplasty to fix droopy eyes/ negative canthal tilt? (Photos)

Lunaillusion777May 9, 2025
My eyes have a naturally droopy and sad appearance due to genetics, which I’d really like to change. I have quite deep-set eyes, and I believe the hooded look is mostly caused by that. I’m wondering—would procedures like brow bone shaving or canthoplasty help reduce the hooding and give my eyes a more neutral canthal tilt?

Answers (1)

From board-certified doctors and trusted medical professionals
Emre Guvercin, MD, FEBOPRAS profile photo
Dr. Emre Guvercin, MD, FEBOPRAS
Plastic Surgeon
5.0 | 27 Reviews
Answered on Jun 12, 2025
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Earl Stephenson, Jr., MD, DDS, MBA

Dear Luvluv, Thank you for your question. In my opinion, canthoplasty is not a stand alone procedure. It is an additional procedure with a lower eyelid lift/Blepharoplasty. The purpose of a canthoplasty is to maintain the position and tone of your eyelid to protect the eyeball and direct tears...

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Earl Stephenson, Jr., MD, DDS, MBA

Dear Leelee,Lala, Thank you for your pictures. I think you have lovely eyes. I can appreciate some of the darkness underneath your lower eyelid. There are no surgical procedures that can correct this . Improvement of this area is a labor of love with uses for Retin-A, use of vitamin C, and...

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Mustafa Aydinol, MD

Looking at the photos I think that you might have ptosis as well. If so this also has to be corrected. For scleral show the best and most reliable solution would be a canthopexy with upper eyelid incision, in a close proximity to lateral eye canthus, for better and precise control. With temporal...

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Jeffrey H. Spiegel, MD

We should be able to improve that quite a bit. The scar can be revised, volume can be improved, and symmetry can be made better. There are many options.

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