Surgery to correct hereditary ptosis, uneven/droopy eyelids and negative canthal tilt and close set eyes? (photos)

Question

I'm a female in my early twenties with pronounced under-eye bags and droopy/uneven eyelids due to genetics and insomnia. I've always desired symmetrical, youthful eyes with a positive canthal tilt. Even when I was 12, I had the sad eyes of a lonely old woman. My eyes are also too close-set; they make me appear masculine and unintelligent. Their asymmetry makes me look inbred/crosseyed/like I've had a stroke. Can anything be done to correct any of this? A facelift? Eyelid surgery?

Kenneth D. Steinsapir, MD · Answer

You may not need as much surgery as you think you do.  For example it is not clear that you actually need lateral canthal surgery.  What your photos demonstrate is bilateral levator aponeurosis dehiscence. This explains why there is no real upper eyelid crease.  Most oculoplastic surgoens prefer to address upper eyelid ptosis with a surgery called a Muller's muscle conjunctival resection ptosis surgery.  This surgery will not work for you because your levator aponeurosis is not in proper position to benefit from this surgery.  This may not stop some surgoens from offering this surgery to you but it will not be helpful for you.  You need an anterior levator resection ptosis surgery with an eyelid detail called an anchor blepharoplasty needed to form a hard upper eyelid crease and support the upper eyelid lashes.  When this is done, the eyebrows will relax to a more normal position. This will create the almond shaped eyes you are looking for.

Mehryar (Ray) Taban, MD, FACS · Answer

I have treated patients like you before. It is possible to elevate the lower eyelids, outer canthus, and upper lids, to make eyes more almond shaped. Personal consultation is necessary.

Surgery to correct hereditary ptosis, uneven/droopy eyelids and negative canthal tilt and close set eyes? (photos)

Answers (2)

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Everything you need to know about Ptosis Surgery

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Surgery to correct hereditary ptosis, uneven/droopy eyelids and negative canthal tilt and close set eyes? (photos)

Answers (2)

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Recommended reading

Everything you need to know about Ptosis Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.