Negative Canthal Tilt Poor eye area. Is there anything I can do to fix it? (Photo)

The level of the outer canthus of the eye can be lifted slightly through a procedures known as a lateral canthopexy. This changes the position of the corner of the eye by moving it up higher in the lateral orbital rim.

Dear
redial9891,

Thank
you for your clinical post and photographs.
Although difficult to tell from the photographs you have posted, if
there in fact is a negative tilt to the outer aspect of the eye, or the lateral
canthus, this means the lateral canthus is lower than the horizontal Frankfort
line compared to the inner aspect of the eye, or the medial canthus, then
canthal repositioning surgery is sometimes indicated. You are very young and so this would be more
of a hereditary lateral canthal malposition.
Canthal repositioning through a lower lid incision and a small upper lid
complementary incision can be performed.
In addition, the tail of the brow can be slightly elevated through a
transblepharoplasty approach, which also opens the eye. In your particular case, this is more
structural, hereditary reformatting surgery rather than aging surgery. As this is somewhat invasive, you certainly
would want to seriously consider the full impact of the benefits, risks and
recovery of such a procedure.

I
trained in both plastic surgery and ENT-head/neck oncology and facial
trauma. Lateral canthal repositioning
and lateral lid surgery is an important part of my practice and careful
consultation and discussion of the risks and benefits would be warranted. There are many good plastic surgeons in
Toronto and you should seek the advice of ones with a lot of experience in this
area. A couple of other very good
plastic surgeons in this area would be Dr. Oley Antonyshyn at Sunnybrook
Hospital, Chief of Craniofacial Surgery and Dr. Derek Ford on Avenue Road, who
also has specialized training in lid surgery.

For
more information, please review the link below.

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

Sincerely,

R.
Stephen Mulholland, M.D.

Certified
Plastic Surgeon

Yorkville,
Toronto