How much smaller will my eyes be after a four lateral tarsal strip surgery?

rsmember138 I have been performing eyelid surgery successfully for over 2 decades.  I have never found it necessary to perform a lateral tarsal strip on all 4 eyelids.  Why were you told that you need such a procedure? I would advice a second opinion.  I perform eyelid surgery without any scalpel blades.  I use a laser in my accredited operation room in sterling Heights Michigan.  This is done for your safety, sterility and comfort.  i would be happy to discuss your options at my office.

However, it is very rare situation where this would be required.  You did not provide photos or the reason you are having this surgery.  There are many ways that lateral canthal surgery can be profoundly disappointing.  Smaller eyes is just one of those issues.  Lateral canthal surgery is not cosmetic surgery.  It is at best a reconstructive procedure.  It is all too common for these surgeries to be performed over aggressively by well meaning surgeons who do not full understand the subtle and not so subtle changes that may occur with these surgeries which make it very difficult to control.  I think the fact that you find it necessary to post this question suggest that you have not had all your questions answered.  I strongly recommend additional opinions before proceeding with this surgery.  

The
lateral tarsal strip procedure is a type of canthoplasty.This is performed only on the lower eyelids
in order to tighten them and prevent descent and complications after a
blepharoplasty or to correct the ectropion (droop or eversion of the lower
eyelid).Only that skin that it extra is
removed.The procedure is designed to
return the eyelid to a normal length and appearance.Because of the way you stated your question,
I would suggest that you discuss this at length with your surgeon so that you
understand exactly what is to be done.If you do not get your questions completely answered, seek a second
opinion.