How can I change the shape of my eyes? (Photo)

Question

My eyes have always bothered me, especially when it comes to taking photos. I always look tired because of the asymmetry, droopy eyelids, downward shape etc. what procedures can help me lift the eyes and create almost a “cat-eye” shape?

Kenneth D. Steinsapir, MD · Answer

Your issues are that you have inferior displacement of the soft tissue lateral canthus (outer corners of the eyelids). This can be improved by lifting the corner to a more neutral location. So-called cat eye is done by aggressively lifting the position of the corner. Generally this is a terrible aesthetic mistake that disfigures the eye. You have other issues. By fixing then, the eyes will be much more natural looking and almond shaped. You have upper eyelid ptosis with a compensatory eyebrow elevation The ptosis that you have is central levator disinsertion. This also depletes upper eyelid fold volume giving you more of a high, empty upper eyelid sulcus with the high eyebrow. By fixing the upper eyelid ptosis at the time of lateral canthoplasty, it is possible to give you the eye harmony you need. Your eyes can be your best feature.

Sam Speron, MD, FACS · Answer

Thank you for your question and pictures!  Upper eyelid hooding can be corrected with blepharoplasty or cosmetic eyelid surgery. It is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your unique anatomy as well as what exactly is bothering you.

Botox injections as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations.

The recovery & downtime is very minimal. There are usually no drains, most people can go out the same day, you can shower the next day and most patients take no pain medicine. There are never any guarantees of course with any procedure whether it is surgical or nonsurgical in nature.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

I hope this helps answer your question. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

David K. Isaacs, MD, FACS · Answer

You say you have droopy upper eyelids, but it’s difficult to say how much you really have because it seems you’re looking down at the camera and that lowers the position of the upper eyelids.

Nevertheless, ptosis surgery is a procedure that can elevate the position of your eyelids. A nonsurgical option is a daily drop called Upneeq. Lifting your upper eyelids will also fill the hollow upper eyelid sulcus. You may also benefit from filler injections in the upper sulcus hollow. 
 
Your lower eyelids I will venture to say are likely also droopy, also known as lower eyelid retraction. It’s difficult to tell from this photo, but you may also have a flat midface with somewhat of a negative vector morphology, leading to suboptimal support of the lower eyelid.

You lateral canthus is in a lower position relative to the medial canthus, and that is another reason you feel you look tired. That’s also why patients ask for “cat-eyes,” but this is not what people should go for obviously. Raising the lateral canthus is possible, but it needs to be done by someone who is very proficient in the procedure and only for the right candidates, because surgically altering the tendon can lead to functional eyelid issues in the future.

I haves many video on these numerous topics, but I will add one here.

See an Oculofacial plastic surgeon for a proper exam and recommendations.

How can I change the shape of my eyes? (Photo)

Answers (3)

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