Why does one eye slant down and have weak bone projection? (Photo)

Your lower lids are positioned slightly lower than optimal and these can be repositioned with a canthoplasty, additional support with fat injection or malar implants that extend above the orbital rims. A combination of the techniques may afford you the best outcome. You may consult a craniofacial surgeon who specilizes aesthetic surgery.

First off, we all have at least a small degree of facial asymmetry. I would say the amount of asymmetry shown in your photos is very mild.Lower eyelid "retraction" refers to a situation when the lower lids sit in a lower than optimal position. A thorough examination is necessary in order to determine the best way to address this. A canthoplasty can certainly be helpful in some situations. When a patient has prominent eyes (which project forward, which it appears you may have), sometimes it is necessary to place a graft in the lower lid to give vertical support as well as a canthoplasty. Another less invasive option for some patients is filler injection into the lower eyelid, which when placed properly, can also give vertical support and help with retraction.I would suggest having a thorough examination with an experienced oculofacial plastic surgeon to determine your best option. 

Almost all of us have asymmetry between our two eyes so this is common.  Your surgeon is right and a canthoplasty can be performed to elevate the outer portion of the right lower lid and make the  outer corner higher than the inner corner. This is exactly what a canthoplasty is designed for. Good luck.

Dear twentytwo22,

It is very common to have asymmetries between one side of the
face and the other. When it comes to the
eyes, these are particularly more apparent, as it is the central facial
structure that one communicates with the rest of the world. When there is asymmetry of the medial canthus
that is significant, sometimes aesthetic reconstructive surgery with a medial
canthal repositioning may be necessary.
These procedure can be performed locally through small incisions in the
inner aspect of the eye or through lowering a forehead flap from above and
repositioning the medial canthal tendon.
This is a very specialized area of aesthetic plastic surgery and I would
seek out a craniofacial expert with experience in medial canthal repositioning
into the lateral wall of the orbit. Dr.
Oley Antonyshyn of Sunnybrook Hospital is the Chief of Craniofacial Plastic
Surgery and has a tremendous amount of experience doing this.

When seeking eye canthal repositioning, it is very important
to carefully select your physician based on experience and understanding of the
risks and recovery and potential benefits involved.

Sometimes the best decision is to leave asymmetry alone, but
when asymmetry is quite noticeable, medial canthal repositioning can be a good
solution.

For more information, please review the link below.

I hope this information has been of some assistance and best
of luck.

Sincerely,

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto