Lateral Canthoplasty in Asian Patient to Lengthen and Open Eyes?

i am getting asian blepharoplasty and epicanthoplasty soon, but i would also like to open up and lengthen the outer corners of my eyes with lateral canthoplasty because the length of my eyes horizontally is too short. i have been unable to find that much information on it, or pictures of patients that have gotten lateral canthoplasty. will it be beneficial to me? how is the procedure done? i want my eyes to be as big as possible so i am interested in any procedures that could achieve such result. thank you!

Doctor Answers 10

Lateral canthoplasty on young patients

Thank you for sharing your question and photo. Many young people have interest in lengthening their eyes horizontally. The problem is that the lid and skin are usually already tight and performing canthoplasty would make the eyelid tighter. This could cause several different problems. The other procedures you discussed are reasonable to have performed. 

New York Oculoplastic Surgeon
5.0 out of 5 stars 139 reviews

Lateral canthoplasty for eye lid for horizontal expansion

I would NOT recommend this procedure for you. The lower lid lashes would not be present in the lateral canthal extension area. I have done this, as requested in the past, and the patients were not happy with results. Have a cosmetic blepharoplasty with invagination of upper lid crease.

Pierre Guibor, MD
New Jersey Oculoplastic Surgeon
5.0 out of 5 stars 1 review

Lateral canthoplasty will not make eyes bigger

Lateral canthoplasty will not be of much benefit for your tight lower lids. There is no sense in performing the procedure on someone who is very young and has very tight lower eyelid structure. It would only make your eyes smaller in vertical dimension. Lateral canthoplasty will not make your eyes bigger.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Lateral Canthoplasty is done the least after double eyelid crease formation and medial epicanthoplasty

Lateral Canthoplasty is done the least after Double eyelid crease formation and medial epicanthoplasty.  The are good reasons for this.  The lateral canthal area is not the area that really defines the differences between an Asian and a Caucasian Eyelid.  The medial canthal area is the area where Asians mostly have a difference.  It is thought to be due to a lack of development of the nasal bridge or other arrested point. 

When you are developing all people have epicanthal folds.  These folds disappear as you develop in the womb.  In Asians, approximately 40-70%, have a persistent fold and they are called epicanthal folds.  The lateral canthi don't have major differences between the two groups.   Hence surgical correction of the medial epicanthal folds is where the most difference will be noticed.  That is also the reason why doing a lateral epicanthoplasty is a lot likely when one does Asian Blepharoplasty. 

Another reason that the lateral epicanthoplasties are not done is because they can readhere back to the orginal shape and the success rate is also a lot lower than compared with the medial epicanthoplasty. From your pictures, you have a wide enough horizontal dimension.  I think a double eyelid crease procedure and a little medial epicanthoplasty will really improve the appearance of your eyes.

Philip Young, MD
Bellevue Facial Plastic Surgeon
4.2 out of 5 stars 84 reviews

Lateral Canthoplasty and Blepharoplasty

I would advise against a lateral canthoplasty in your particular case. It appears that you are youthful with excellent lower eyelid skin tone. The lateral canthoplasty is a reconstructive procedure which tightens loose lower eye lid skin. 

Also, your photograph suggest that the upper eyelid skin tends to fold over the eyelashes which in turn hides your eyes true beauty. I would recommend an upper eyelid blephoraplasty which will make your eyes appear larger.     

Burr von Maur, MD
Orange County Plastic Surgeon
4.6 out of 5 stars 22 reviews

Asian Blepharoplasty

Hi. You are young with good eyelid tone. The position of your lateral canthus is good. So no canthoplasty is needed. In fact, it can cause problems. What you can have is Asian upper blepharoplasty, with removal of small amount of skin only. The eyelid crease can be reformed as well.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 72 reviews

I would not recommend this

Your eye are wide enough and the lateral canothoplasty is not indicated in your case.You willget the result with romving small amount of fat from upper eyelid and blepharoplasty. Lateral canthoplasty is indicated in patients will loose lower lid.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.8 out of 5 stars 122 reviews

Asian eye lids

The Blepheroplasty with appropriate creation of the upper lid crease, and Epicanthoplasty will give you more open eye. Lateral canthoplasty will NOT lengthen your eye, you may create more problems if you pull on the lateral canthus and pull it from the globe.

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

Would strongly advise you against lateral canthoplasty

In looking at you photo, I would strongly advise you against a lateral canthoplasty.  These are not cosmetic procedures.  They are for reconstruction.  You are highly likely to be disappointed with the result of this procedure even in the hands of the most expert surgeon.  Similarly for epicanthoplasty.  I generally advise strongly against these procedures. 

The purpose is to take an inside fold to an outside fold.  This can be a very nice adjunct to the double fold surgery.  However, it can also place a visible scar in the middle of the face that can trouble you for the rest of your life.  When we do the double fold surgery, the scar is hidden under the fold.  I would also strongly recommend that you have a very clear understanding with your surgeon regarding how much platform will be exposed by your surgery and where the fold will sit on the platform so you are not surprised after surgery.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Lateral canthoplasty

I am not sure a lateral canthoplasty will "open" up your eyes although it can change the shape and orientation of your aperture. Also, be careful of doing an epicanthoplasty as it often leaves unsightly scars that are difficult to hide. A nasal dorsal implant can help with the epicanthal fold but only if you want a higher bridge.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 11 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.