Does endoscopic face lift change eye shape?

Question

Does endoscopic face lift change eye shape ? I read that it changes eye shape a bit into almond eyes / foxy eyes, thank you

Jacob Tower, MD · Answer

Hello, hope you are well. The instrumentation does not really matter in the context of your question (whether an endoscope is used or not for a face lift). Any changes in the shape of the eye depend entirely on the surgeon's technique, and should be deliberate if wanted. You should discuss your goals and expectations with your surgeon so they can answer the question on a personalized basis.
Best,Dr. Tower

Semih Yildiz, MD, FEBOPRAS · Answer

An endoscopic facelift by itself should not usually create a major or intentional change in eye shape. What can change the look around the eyes is the specific vector of lift and whether the procedure includes a temporal brow lift, midface lift, eyelid surgery, or canthopexy/canthoplasty. Swelling and tissue tension can also make the outer eye area look temporarily more lifted early in healing.

A true almond or foxy-eye change is usually related more to brow/temple and eyelid-corner procedures than to a routine facelift. Before surgery, ask your surgeon exactly which areas will be lifted, whether the lateral brow or canthus will be altered, and show photos of what you do and do not want. That is the best way to avoid an unwanted eye-shape change.

Bora Ok, MD · Answer

Hello from Istanbul, Turkey! Thanks for this question. An endoscopic facelift primarily focuses on rejuvenating facial contours and doesn't change the eye's shape. However, eye shape can be altered by strategically tightening the canthal ligaments (which anchor the eye's outer corners to the bone) or severing and repositioning the canthal tendon at a higher level. These modifications can potentially create a more "almond" or "foxy" appearance. I'd like to point out that severing and reconnecting the canthal tendon is a rather aggressive procedure, which I generally approach with caution as potential complications may arise. That said, a subtle adjustment to the canthal ligament can help create an aesthetically pleasing eye shape that complements the results of the endoscopic facelift. Hope this helps, best of luck!

Myung Ju Lee, MD, PhD · Answer

While facelift does not directly interfere on the eyelid or eye shape, depending on the dissecting area, skin around the eyes may be pulled in facelift surgery. Depending on the technique and the dissection area it will vary, but may have minor difference.I would recommend you to discuss with your surgeon about the dissection area of your facelift surgery. Thank you

Ronald J. Edelson, MD · Answer

Endoscopic techniques along with a facelift have not been shown to be if much value. It impressed people with fancy techniques but from a practical standpoint it doesn’t deliver

Ram Kalus, MD, FACS · Answer

Thank you for your question. Unfortunately it is difficult to answer. There are many different procedures and techniques and the use of an endoscope in and of itself does not specifically indicate what operation was actually performed. An operation that has definitely fallen out of favor is a trans-blepharoplasty (lower lid) mid face lift with or without endoscopic assistance. That operation indeed created unusually shaped eyes with a high complication rate. Most plastic surgeons are not using the endoscope these days for facelift procedures.

I recommend consulting with an experienced board certified plastic surgeon or facial plastic surgeon whose aesthetic results and reviews appeal to you who can evaluate you and make specific treatment recommendations. Best of luck to you.

I recommend consulting with an experienced board certified plastic surgeon or facial plastic surgeon whose aesthetic results and reviews appeal to you who can evaluate you and make specific treatment recommendations. Best of luck to you.

Zoran Potparic, MD · Answer

No face lift including endoscopic (I am not sure that I understand reason for endoscopic?) should change the eye shape. That is something that only the surgeon who proposed such a procedure could answer. Good luck.

Connie Hiers, MD, FACS · Answer

Depending upon what specifically is done with a facelift, some changes may occur around the eyes, but are usually not permanent, especially with just using the scope.

Does endoscopic face lift change eye shape?

Answers (8)

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