Would a tarsorrhaphy or canthoplasty be the better option for minimizing the white of my eyes horizontally? (photos)

In particular, tarsorrhaphy is a reconstructive surgery that is highly disfiguring. It is done to protect the cornea in very specific situations such as after facial paralysis where the eye does not close. Lateral canthoplasty reanchors the outer corner of the eyelids. It can in some cases elevate the lower eyelid but generally shortening the lower eyelid causes the lower eyelid margin to ride lower under the curvature of the globe frustrating surgeons efforts to accomplish this. I have colleagues who attempt to recess the lower eyelid retractors to accomplish what you are looking for but my opinion is that these procedures are underwhelming. I caution you on pursuing you goal. Well meaning surgeons can aesthetically harm you in trying to accomplish what you are looking for.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Hello! Thank you for your question.As far as I can see from your photos you want your eyes to be more slanted and upward. For this image I suggest canthopexy ( cat eye) procedure. If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation.Best Regards!