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Based on that photo, you do not - canthal tilt is simply looking at whether the lateral (outside) canthus (corner of the eye) is positioned higher or lower vs the medial (inside) canthus. For a negative tilt, it would be positioned lower, creating an unattractive "sad clown" appearance.
Creating symmetrical, more defined creases are prevalent concerns that I witness in my practice. A face-to-face consultation best assesses specific changes, as the surgeon must determine your skin type and personal aesthetic goal. During consultations, I use a crease probe to stimulate different...
For significant improvement, hooded eyelids require surgery if there is enough skin. For nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin. I recommend getting a formal...
Hi Alime You would do very well with an upper blepharoplasty to address the upper eyelids which will make a big difference to your aging features. With respect to the rest of the face it really depends on your budget. You can either proceed with nonsurgical options eg filler and anti-wrinkle...