What kind facelift do I need? (Photo)

You seem to be a suitable candidate for *canthoplasty* surgery. The downward slant of your outer eye corners create a *negative canthal tilt*, and the best way to overcome this appearance is with a canthoplasty surgery. **Canthoplasty* can lift the outer corners of the eyes, providing a more youthful and awake appearance. This procedure directly changes the shape of your eyes and achieves the upward tilt you're looking for. The result can be very good when performed by experienced surgeon with correct planning. Since it is a surgical procedure, there are risks and recovery time to consider, as with any other surgery.

A *temporal lift* lifts the eyebrows to shape the upper face, but it doesn't change the shape of your eyes and may not be sufficient on its own. During a face to face consultation, I evaluate the laxity of your temples and your facial anatomy overall, and then decide on the best surgery/combination of surgeries to achieve your desired outcome.

What you are showing by the pulling is similar to the results achieved from a lateral temporal lift. This is the only option to lift the sides of the eyes. This would be a safe approach.
Regards
Dr. J

I think this is a great question. What you are doing with your fingers in the pictures is lifting the skin and soft tissue of the upper eyelid and brow. That can be accomplished with a thorough lateral/temporal brow lift. However, it does not change the position of the lateral canthus itself, which would require a canthoplasty. One thing I would caution however, is that it looks like you are putting a good amount of tension on the skin/tissue with your fingers in those photos and it may be difficult to achieve the exact same result with surgery given the amount of tension.
Hope this helps!Kyle Kimura, MDFacial Plastic Surgeon

You would benefit from an extended browlift. The incision would be made in the frontal hairline to make the forehead look less vertically long and pull up the corners lateral to your eyes to give the effect you are trying to achieve with your fingers in the photographs.

Best Wishes,

Gary Horndeski, M.D.

We can solve your problem with cantoplasty op. However I would like to give you small detail. Not only the corners of your eyes but also your eyebrows should be slightly raised. Please contact with my assistant for free consultation. Best wishes

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