How can the lateral corners of my eyes be returned to a more natural position? (Photo)

Question

I had an upper bleph and the lateral corners are turned down. What will it take to return them to the more natural position.

Vipul Gargya, MD · Answer

Based on what you are describing, a lateral canthopexy is often one of the key procedures used to improve the lateral canthal angle and help restore a more natural position to the outer corner of the eye.
After upper blepharoplasty, some patients can develop rounding, downward pull, or subtle malposition of the lateral corner, especially if there was underlying lower lid laxity or changes in support around the eye. A lateral canthopexy helps reinforce and reposition the outer corner of the eyelid to create a more natural, youthful contour.
The exact approach depends on the degree of malposition and your anatomy. In milder cases, a canthopexy alone may be sufficient; in more significant cases, a formal canthoplasty or additional lower eyelid support procedures may be needed.
I would recommend evaluation by a board-certified plastic surgeon who specializes in eyelid and facial rejuvenation surgery, as these are nuanced procedures where precise vector control and eyelid support are extremely important for achieving a natural result.

Kenneth D. Steinsapir, MD · Answer

WIth a history of upper blepharoplasty and Latisse use, the reconstruction you need may or may not be possible. It is not a simple matter of injecting fat grafts into the upper eyelid which was a response someone provided to you. You have Post Upper Blepharoplasty Syndrome: hollow upper eyelid, high upper eyelid crease, upper eyelid ptosis, and a compensatory eyebrow elevation. The most important factor in reconstruction eyelid in this situation is how much anterior fat do you retain? That must be assessed in an in person consultation. Even if your upper eyelid fold can not be fully restored, the upper eyelid ptosis can be repaired and the crease can be appropriately lowered. For that reason, I would encourage you to consider the consultation and the reconstruction if you are a candidate for surgery. The article I am attaching has been read over 40,000 times.

How can the lateral corners of my eyes be returned to a more natural position? (Photo)

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