Would a medial canthoplasty lengthen / lower my lacrimal lake and can it be done under local anesthesia? (photo)

My best recommendation to see you avoid surgical intervention and attempt to change the appearance of your eyelids guide. It’s unlikely surgical procedure would give you the desired outcome and likely that the procedure would leave you disappointed and regretful. Best, Mats Hagstrom MD

I see no indication of her having eyelid, surgery or rhinoplasty surgery in your case. I recommend extreme caution when it comes to permanent irreversible surgical intervention unless there’s a clear indication. Best, Mats Hagstrom MD

The aim of upper eyelid blepharoplasty is to remove excess skin and/or fat and hide the scar in a natural skin crease. In the majority of patients, the scars are virtually impossible to see. There are different ways to close the wound after surgery. Frequently a running, subcuticular type stitch...