Best Procedure to Correct my Slightly Scleral Show? (photo)

Thank you for your question and photo.  There have been several interesting posts already, so I won't repeat what has already been said.  It’s always difficult to evaluate a two-dimensional photo unless the views are standardized (which is difficult to accomplish without training).  The one thing that immediately strikes me is that the photo appears to have been taken with a camera angle from above, with you looking slightly upward.  The reflection of the camera flash is only a couple millimeters from your upper lid and your lateral and medial limbi (sides of the circles formed by your iris or colored portion of your eye) are nearly touching your upper lid.  Taking that into consideration, it seems unlikely that you need any corrective surgery. But, I would advise you to see a board-certified cosmetic surgeon who can take photos with standardized views and evaluate you in person.  Best of luck.

First, I would recommend no surgery. Your eyes look fine. If you insist on doing something, then, removing a small triangle of your lower lid and pulling the lid tighter should correct what you are seeing.

Thank you for the question and your picture. Without examining your eyelids to determine the degree of laxity, it is not possible to say whether or not you need a canthal repositioning procedure. There are many reasons for scleral show: 1) in some people, this is "normal" (i.e., not a result of surgery or any sort of trauma); 2) there could be scar tissue in the lower eyelid, which is limiting its movement or causing the lid to rotate outward; 3) the lower eyelid may be too loose, and it hangs down. There are some important tests that will be done during your evaluation, including distracting the lid away from the eye and checking how quickly and easily it returns to its normal position. Procedures available will depend in part on this information, and include a lower eyelid lift with canthopexy, canthoplasty alone, or midface lift. Please have a detailed conversation with your qualified surgeon regarding your options and aesthetic goals.