Procedures for Negative Canthal Tilt?

Question

I am 33 & female, & have a slightly negative canthal tilt. When I press my fingers to my temples & lift up slightly, my canthal tilt becomes positive, my nasolabial folds disappear, & my face/chin becomes more heart-shaped & feminine; overall I look more attractive. I was wondering if there is a cosmetic procedure that would mimic these effects? Would any fillers work? Or would surgery such as a facelift accomplish a positive canthal tilt w/o looking unnatural or extreme? How drastic is this?

Fernando Colon, MD · Answer

It is important to determine what is the causeof the negative tilt. In some cases relaxing thelateral orbicularis muscle  with a neurotoxin such as Botox may help with a slight correction.A thorugh evaulation is the place to start.Best wishes.

Vincent N. Zubowicz, MD · Answer

The maneuvers that change your face favorably only mimic what a formal operation to change aperture shape of the eye entails. The lateral quintal tendon has to be releasing repositioned.

Malcolm A. Lesavoy, MD, FACS · Answer

Yes, if you were to undergo a improvement in your negative canthal tilt, a upper face lift (malar lift), to elevate the skin and underlying muscles over you cheek bones, would improve the situation you describe.  But, it will not elevate your naso labial folds (laugh lines). To elevate and smooth the naso labial lines, the skin has to be pulled too tight and it will look fake.

Johnson C. Lee, MD · Answer

According to your description, any procedure that pulls the lateral face and temples into a more vertical vector would give you the look you prefer. Surgical procedures that can accomplish this are usually facelifts and/or eyelid surgery. At your young age, a large surgery such as a facelift may be overboard and unnecessary to achieve just a "slight" lift. There may be other non-surgical energy-based machines or filler techniques which may provide these effect as well. It is best to have an in-person evaluation where the plastic surgeon can examine your facial structures and give you the best treatment options to fit your goals.

Brooke R. Seckel, MD, FACS (retired) · Answer

Canthal tilt is determined by the lateral canthal ligamnet and to a lesser extent the tightness of the Orbicularis oculi muscle. Repositioning of the canthus to elevate canthal tilt usually requires at least a canthopexy or plasty. The other features you mention would require a facelift.

Richard Ellenbogen, MD (retired) · Answer

This is a complex problem to fix and facelift and canthopexy concurrently might work but I doudt it. Without photos I can only hypothesize

David Alessi, MD - Account Suspended · Answer

You concerns could be addressed with a mini-incision mid-face lift.  This can correct the canthal tilt as well as the midface sagging and nasolabial fold.  The incision is in the hairline above the ear.  Best wishes.

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Procedures for Negative Canthal Tilt?

Answers (7)

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