Eye Surgery - Can the Medial Canthus Be Lowered?

Question

I know the lateral canthus can be raised to give a more exotic look (canthoplasty), but in relation to my face, my lateral canthus is already high enough, and the only way to acheive a more exotic eye whilst keeping my face in balance would be to lower the medial canthus. (My eyes are already too high for my face, so this is my only option). However, I don't know if this is possible?

Stephen Prendiville, MD · Answer

Attempts at lowering the medial canthus for cosmetic purposes are truly, "messing with mother nature". Realignment of intercanthal distance with relation to the medial canthus for trauma and/or reconstructive purposes is technically challenging and not always predictable. Don't ask anyone to do it...... you might find someone who will try.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

This is not possible. Let me rephrase this, it is NOT recommended!!!!!  The medial canthal area can be repositioned and is done for people who have poorly corrected maxillofacial trauma or born with craniofacial deformities.  It is a sophisticated operation. The medial canthal area has several critical structures and base on this should be approached with VERY careful consideration.
DON'T DO IT!!

David Shuter, MD · Answer

I would be very wary of any surgeon that will alter both the medial and lateral canthii. In my opinion, the "exotic" look of a raised lateral canthus looks fake and even deforming in some patients. Unless you have a special problem, I would not change the canthii at all.

Darryl J. Blinski, MD · Answer

Any thing is possible but is it recommended for a purely cosmetic reason. I think NOT!!! Please re evaluate your position and your realistic expectations. 
From MIAMI Dr. B

Peter A. Aldea, MD · Answer

The Medial canthus can be manipulated in Reconstructive surgery which usually involve cancer, webbing and facial fractures. Because of its relation to the tear duct and attachment to the inner eye socket few, if any, Plastic surgeons would attempt to relocate it for purely superficial cosmetic reasons.

Eye Surgery - Can the Medial Canthus Be Lowered?

Answers (5)