How does a lateral canthoplasty work? (photo)

For a humble facial cosmetic surgeon, there is no easy surgery and canthoplasty is no exception. Many issues can arise including lack of improvement, asymmetries, scaring and dissatisfaction from your end. Discuss all of your questions with your eyelid surgeon before undergoing canthoplasty.

In regards to the shape of your eyes, you can definitely make a change BUT not for the better!  Trying to alter the shape of your eyes can make things appear not natural so I do not recommend it. In regards to your lower eyelid area, you have some hollowness which can be improved with...

The photograph demonstrates scleral show between the iris in the lower lid. It appears that this is an aesthetic issue only. It might become functional if any operation is poorly executed or affected by unfortunate wound healing. I would advise you against any surgery.

In order to offer you specific advice, I would have to examine you and assess your entire face (full face picture). Without that ability, I will simply say that in general, the appearance of your eyes can be altered so that the canthal tilt appears more positive.  A lateral canthoplasty is...

Typically, even the best or tightest canthoplasty will relax over time. In fact it is usually best to overtighten slightly in my opinion. Being one month out, your appearance at least from the limited photos appears appropriate. Good luck.