Downturned corners and "sad eyes" - Upper blepharoplasty or ptosis? (photo)

Thank you for your query. The look of your eyes can be improved by changing the vector of the corner of your eyes. The procedure is similar to, but not as pronounced as a cat’s eye lift. Please find an experienced, board certified Plastic surgeon who does this procedure. All the best!

the procedure you are looking for is called a canthoplasty. you may also need a brow lift. s

You may want to consider an extended brow lift. This would elevate the eyebrows higher, pull the corners up, decrease the vertical height of the forehead and lower your hairline.

Best Wishes,

Gary Horndeski, M.D.

Many thanks for question with photos. Your situation must be professionally evaluated in person. There are several possible treatments, but lifting and supporting the lower eyelids may improve expression and resolve "sad eye" impression. Because lifting the lower lids will narrow your vertical palpebral aperture (distance between edges of upper and lower eyelids), this change must be simulated before a procedure to be sure you like the result. Yours is as much a reconstructive as aesthetic procedure in my opinion, and may prevent dry eyes, irritation, and other problems that may develop with aging related to your lower eyelid position.

It appears that you have several factors involved; eyelid ptosis, low set eyebrows and downturned lateral canthus, eye corner. A proper diagnosis can be made only on the basis of in person evaluation. A combination of ptosis repair, lateral canthopexy and possibly brow lift, should be considered. Good luck.

The primary reason for your sad eyes is a negative canthal tilt.
This is based on facial skeletal structure and is not from soft tissue issues.
Correcting the canthal tilt or angle is possible but not easy or straight forward. The procedure is aimed at repositioning the eyelid insertion in the outer part of your eye socket. It’s a soft tissue solution to a problem which is based on bone structure.
There are other soft tissue solutions like a brow lift or upper eyelid blepharoplasty, but these are not treating the underlying primary problem which is the angle between the skeletal insertion of the inner and outer parts of your eyelids.
Best,
Mats Hagstrom MD

We need a full face photo to determine if there is midface volume loss accompanying (negative vector) or not, to answer correctly