What are my options to correct the slope of my lower eyelid? (Photo)

You need an in person consultation to determine the cause of your lower lid retraction/lateral canthal malposition. Depending on the cause will determine the treatment. Typically, these are corrected surgically with a canthoplasty and potential lower lid spacing graft. Best to see an eyelid specialist in your area.

I can’t think of any non surgical options to help with this issue. A canthoplasty to tighten the lateral canthal tendon or a lateral tarsal strip procedure would be ideal to resolve this issue. If you have it on both eyes, then treat both eyes simultaneously. This has become a popular procedure in the last 5 years because of the desire for fox or cat eyes in Hollywood. The same procedure can be performed to create a neutral tilt or positive tilt if desired.

Non-surgical treatments for a negative (inward-turning) lower eyelid, or entropion, are limited and temporary, including eyelid taping and lubricating eye drops to protect the eye, but for a permanent correction, surgery is typically required to reposition or tighten the eyelid muscles. Surgical options, like an eyelid retraction repair, involve tightening the lower eyelid retractors or adding a graft to support the eyelid

Hello,
Thank you for your question and photo. To correct a negative canthal tilt—where the outer corner of the eye sits lower than the inner—non-surgical options like Botox or strategically placed filler may offer subtle improvement in contour, but they won't change the eyelid's structural position. For a more permanent solution, surgical options such as canthoplasty or canthopexy can lift and support the outer corner of the eye, creating a more neutral or positive tilt. These procedures are commonly performed by oculoplastic or facial plastic surgeons. 

You have ectropion and mild scleral show, this is standardly treated by a tarsal strip cantoplasty.

Find a plastic surgeon with experience in it, high rate of success and not an aggressive procedure.

Hi --I am assuming this problem is on both sides even though we only see one side. It appears from the photo that your lower eyelid slopes toward the outer corner of your eye and that the lower eyelid actually isn't in contact with your eyeball. This condition is often diagnosed and is called "ectropion". It can arise at birth or be caused by trauma, scarring, paralsysis like Bell's palsy, and aging. If it's on both sides, at such a young age, you were probably born with it.
That separation between the eye and the eyelid can cause a sensation of eye dryness, burning and discomfort.
The good news is that the slope--and the separation are correctable with a relatively minor surgery.
I wouldn't advise a nonsurgical treatment for it. If you have insurance, the surgery may be covered.
Good luck!

Buen día, un gusto saludarte! Se puede realizar Botox para realzar la mirada! El valor del Botox $300 dolares

Hi and thank you for your question and photograph. It appears that your lower eyelid is a bit lax or loose. This can be corrected with a canthopexy or canthoplasty. In a canthopexy, the incision is usually in the crease of the upper eyelid. A stitch is placed to tighten the edge of the lower eyelid and suspend it to the lining of the orbital rim bone (periosteum). Because your photograph is a little zoomed in, its difficult for me to assess the rest of your lower lid region and periorbital region. I don't know of a non surgical solution for this problem.

Blepharoplasty prices can range widely depending on their complexity and the issues being addressed. It can range from $2000-$10,000.

Be sure to see a board certified facial plastic surgeon or oculoplastic surgeon.

Hello, This is Dr Özge Ergün
It's perfectly reasonable that you're seeking consultation about eye contour aesthetics. The eyes are the most striking features of the face and directly affect the expression of your gaze. The term "negative lower eyelid tilt" you mentioned refers to a condition where the outer corner of your lower eyelid (lateral canthus) is lower than the inner corner. This can give the eyes a tired, sad, or droopy appearance. As a plastic surgeon, we can evaluate both non-surgical and surgical options to correct this condition.
Non-Surgical Options
Unfortunately, there is no non-surgical method that can permanently convert a negative lower eyelid tilt (negative canthus tilt) to a positive or neutral one. The main cause of this condition is the anatomical structures around the eye, particularly the position of the connective tissues (canthus tendons). Injections such as fillers or Botox can be used to fill in hollows under the eyes or soften crow's feet lines, but they cannot change the structural slope of the eyelid. Such injections are intended only to alleviate peripheral problems and cannot permanently elevate the position of the outer corner of the lower eyelid. Surgical Options
The only permanent and effective way to correct a negative lower eyelid slope is surgery. The surgical technique used to perform this procedure is called "lateral canthoplasty."
What is Lateral Canthoplasty?
Lateral canthoplasty is a surgical procedure performed to raise the position and shape of the outer corner of the lower eyelid (lateral canthus). It is usually performed under local or general anesthesia and can last from one to two hours. During the procedure, the surgeon cuts the connective tissue at the outer corner of the lower eyelid (lateral canthus tendon) and reattaches it to a point higher, closer to the bone. This permanently pulls the slope of the lower eyelid upward.
Benefits of the Surgery:
* Gives the eyes a more youthful, vibrant, and "awake" appearance.
* Corrects the "droopy eye" or tired look.
* Creates a more aesthetically desirable appearance known as "positive canthus tilt," where the outer corner of the lower eyelid is higher than the inner corner.
Recovery Process:
Mild swelling and bruising are normal after the procedure. These effects usually subside within a few days. Most patients can return to their normal lives within a week. Full recovery and final results may take several weeks to become apparent. Because surgical incisions are typically hidden within the lash line or natural creases of the eyelid, scars are minimal and fade over time.

You could consider a C02 laser to tighten the skin of the lower lid or a conservative excision of skin to change the shape of the lower lid. Possibly some fat grafting could do you wonders well if you have some under eye hollows.

There aren't any non surgical options that I am aware of to address your concerns. A consultation with a board certified plastic or oculopastic surgeon would be helpful to discuss surgical options. These would likely include a surgical canthopexy or canthoplasty to improve your canthal angle and slope.