Can Anything Be Done to Help Downward Pointing Eyes? (photo)

   Although the surgery to help with this may be more than would interest you, this can be done.  I do not recommend this in general, but I have fixed these things before.  You need an exam to verify what procedures would be needed.

It may be a good idea for you to consult with a facial plastic surgeon to see if you are a candidate for closed canthoplasty. There is a procedure called MIOS that may be right for your situation. 

Although your photos are not ideal. Whe can tell that the lower lids are slightly droopy. This can be addressed in a variety of ways: sometimes by just changing the angle of the eyelids, and sometimes by adding a graft to inside the lower eyelid, to help elevate.

Many different subspecialties of surgeon can be helpful, but



If you decide to explore this further, I would recommend consultation with an ASOPRS trained Oculoplastics surgeon, as we deal with eyelid reconstruction more than most other surgeons.  You can find one close to you on the ASOPRS dot org website.

When the corners of the eye are slanting down there are 2 generally recommended solutions:


Lateral Canthoplasty- A procedure where the small ligament that attaches the eyelid to the bone of the orbit is repositioned. It is not my favorite as it can lengthen and distort the corner of the eye.

Endoscopic BrowLift- My preferred method. Thru a very small incision endoscopic instruments are used to separate and reposition the outer part of the eyelid muscle so  it is angled up. It also reorients the skin lateral to the eye and the upper outer cheek to give a more global youthful effect


In your particular case I would also consider fat grafting to the upper cheek to imrpve the angle of your lower eyelid and improve the hollow under your eyes seen on the lateral picture. 

Your brows are in good position and your lids have no aging signs. Your lids naturally slant slightly downward. LEAVE THEM ALONE--they are beautiful eyes and I would hate to see them messed up!