What kind facelift do I need? (Photo)

Question

My eyes are slanted downward on both sides naturally and the ‘negative canthal tilt’ trend really brought it to my attention. They give a sad and childish demeanor and I need to know how I can go from this to that. Is it possible? I’m looking for the keyword; I assumed temporal lift but sources say it doesn’t do much to change the eye shape. Id rather not risk reshaping my eyes with canthalplasty resulting in horrendous outcomes. The potential is there I just need it upward. What do I need?

Ali Riza Öreroglu, MD · Answer

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.

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.

Tanveer Janjua, MD · Answer

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

Gurkan Kayabasoglu, MD · Answer

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

+90 541 244 56 54

+90 541 244  56 54

Arif Eroglu, MD · Answer

Hello; There is no negative vector in your lateral canthus and lower eyelid. Your lateral and medial canthus are almost; at the same level. However, the lateral part of your eyebrow is low. It is possible to achieve the shape; that you show with a temporal lift. 2 suspensions to be placed on the lateral part of the eyebrow, 1 suspension to be placed close to the lateral canthus and 2 suspensions to be placed in the malar field. It is not necessary to cut the canthal ligament and reposition it.

Kyle Kimura, MD · Answer

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

Gary M. Horndeski, MD · Answer

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.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Just pulling on the brow will not permanently change the slant of the eyes. that needs to be addressed directly with a canthoplasty. However, you might try some Botox first to see how you do like changes.

What kind facelift do I need? (Photo)

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