Do I need a canthopexy? (Photo)

Hi,
Thank you for including a photograph. As you likely already know, a canthopexy is used to tighten the lower eyelid. While you have a unique shape to your eyes, it is not possible to tell if you have excessive laxity of the lower eyelids. A canthopexy is used to tighten the lower eyelid and to treat ectropion which is the eversion of the lower eyelid with exposure of the red mucosa. I recommend a consultation with a specialist who can examine your lower eyelid for laxity and proceed from there.
Good luck,
Mehdi Sina, MD

No one NEEDS a canthopexy, unless they have problems related to ectropion (happens to much older patients) that necessitate the surgery to protect their cornea and ultimately their vision.  For cosmetic purposes, the question is whether you would LIKE a canthopexy or not.  If you're open to the idea of surgery, Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search. 

Canthopexy will NOT work for you. If you are trying to get more almond shaped eyes without sclera show, you need the lower eyelids lifted plus canthoplasty. See following website page discussing almond eye surgery.