Could I benefit from canthoplasty/canthopexy perhaps combined with almond eye surgery? (Photos)

Question

I think my eyelids are very droopy and make me look tired and I also think I have a slight negative canthal tilt. Could this be corrected with canthoplasty/ almond surgery? Or would possibly Botox or Dysport be the better way to go? I don't want to make my eyes look asymmetrical which I heard could be a possible side effect from doing canthoplasty.

Stefan Mark Szczerba, MD · Answer

You are definitely thinking like I would... the canthopexy could do it and I would for sure start there.  I don't think injections would solve that issue however you can always try it.  I would avoid canthoplasty unless you have eyelid laxity.  Best Wishes!!

Maurice M. Khosh, MD · Answer

Hi, I think it's difficult to comment on your particular concerns with the photos that you have supplied. Ideally, you should have someone else take the photographs and refrain from frowning so that your eyelids could be better assessed in a neutral pose, while looking directly into the camera. Having said that, I think that you are too young to be considering canthoplasty to canthopexy. Those surgical interventions are best for older individuals with loss of support in the eyelids. Maurice Khosh, MD, FACS

Ivan Vrcek, MD, FACS · Answer

thank you for your question and photo. In general, yes, canthoplasty can be used to change the shape of the eye and create a more almond-shaped eye. Botox and dysport are unlikely to give you the effects you are looking for. Asymmetry is a risk of any surgical intervention, but this risk is typically low. Consider seeing an ASOPRS oculoplastic surgeon for a consultation. Best of luck!

Could I benefit from canthoplasty/canthopexy perhaps combined with almond eye surgery? (Photos)

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Could I benefit from canthoplasty/canthopexy perhaps combined with almond eye surgery? (Photos)

Answers (3)

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