How do I achieve more almond shaped eyes and less round eyes? I'm Asian.

Hello honeyfosho! Thanks for sharing your photos. A 10mm tarsal crease is on the wider side, and that combined with fat removal can make your eyes a bit more hollow and round (compared to your pre-op photo). Sounds like what you like is more of an elongated eye shape.  Medial epicanthoplasty and lateral canthal extension can elongate your eyes by extending the inner and outer corners, respectively. Just know that there's a higher potential risk of visible scarring from these procedures compared to the double eyelid surgery.  Hope that helps.

Honeyfosho, I think the shape of your upper lids are quite pleasing.  You do have a mild difference between the epicanthal fold of the right upper lid (incomplete) and the left upper lid (complete).  I agree with previous posts that doing anything surgical may worsen the eyelid shape.  The primary thing that stands out is that your eyebrows appear more masculine- straight without arch laterally. If you cover the eyelids of the other models you like, you're find their eyelids look very much like yours.  A trial of botox laterally may raise the brows and change the appearance of your eyelids.  Cheers

You can have lateral canthoplasty to change that.  Medial epicanthoplasty could create and illusion of a more almond shaped eyes but I don't think the examples you provided are achievable goals.I shouldn't do either surgeries and your age.  I may make this look more like your desired goals for a short while but you'll end up with scarring and very little change in the eye shape.I do these surgeries and Asian eyelid surgery every day and I'm telling you you're asking for trouble.  Chase Lay, MDAsian eyelid surgery expert

Hi and thanks for your question. My advice is not to undergo further eyelid surgery. What you are searching for may not be obtainable, and you run the risk is further scarring from some of the procedures already described by others. Your eyes are rounder because of the eyelid surgery and further surgery is not without risks. That's my advice after 30 years doing aesthetic surgery. Sorry but in your case less is best.Richard Chaffoo, MD,FACS, FICSTriple Board Certified Plastic Surgeon

The procedure has increased the vertical length of your eyelids and has deflated the soft tissue/fat, creating a more round appearance. I agree with my colleague that a medial epicanthoplasty can improve the aesthetic appearance but the procedure can be unpredictable in terms of outcomes due to the nature of the healing forces in the area. You can consider re-inflating the eyebrow/eyelid fat pad  with hyaluronic acid filler as this will soften the round appearance. Similarly coating the bone in the lower eyelid with filler can raise the lower eyelid margin. I would be inclined towards a non surgical approach in the first instance before considering revisional surgery.