Many will meaning surgeons may offer you canthal surgery. This surgery will not repair your issues. It will use up lower eyelid resources and compromise what can be done with a subsequent definitive repair. These eyelids need to be lengthened both horizontally and vertically. Canthal surgery even with a spacer graft will not satisfactorily address the compromised lower eyelids. I address this issue by vertically lifting the cheek over an ePTFE rim implant that is fixed to the bone with titanium micro screws. This material functions as a felting material to permanently hold this advanced cheek soft tissue vertically upward. This replaced the eyelid tissue removed by your surgeon without resorting to an unsightly skin graft. I also use a spacer graft to shape the lower eyelid margin and put the canthus back together but with the cheek lifted, this can be done without tension. I am attaching a website page reference to you can read in more detail and view a video of how this is performed. Finally, there is absolutely no substitute for a detailed, in person physical examination to precisely assess your eyelids. A Zoom call is no substitute for this in person assessment. Don't be fooled by surgeons who cut corners. You need a definitive repair to restore your appearance. Don't get talked into compromise surgery that will not accomplish these. Your eyes can be your best feature.
