What kind of surgery would give eyes an upward almond appearance? (Photo)

Thank you for your question and images. You do have some lower eyelid scleral show and a low insertion point of your lateral canthus. It is difficult to see clearly on the images that you have provided but it appears you also have some globe prominence.A procedure such as a lateral canthoplasty will improve the lower eyelid contour. The long term results and maintenance of the elevated position is something that can be less predictable and there usually is a settling period over a few months after surgery. It is also important to assess the anatomy of your orbital rim to ascertain that the soft tissue and bony relationships are favourable for a canthopexy. A personal consultation with a plastic surgeon will help with your assessment and decision making. Good luck.RegardsDr Guy Watts

Canthoplasty is the procedure you are describing.  As mentioned by the other posters there is no cookie cutter operation, especially around the eyes.  You also need to know that changing the shape of your eyes will significantly alert your appearance.  Have your surgeon produce imaging morphing that will given you an idea of how you would look afterwards.  Often just pulling your eyelid upward does not give you a full appreciation of the change in appearance such an operation would enact. If you still desire the surgery after such a consultation, then find a surgeon who is qualified, understands your goals, and will act conservatively so as not to produce an outcome that is undesirable. 

Hi.  First, your eyes are beautiful and youthful. Many people would be thrilled if their surgical result looked like your eyes do now.  A person's natural eyelid position has to do with many anatomic factors including the intricate interplay between the eyelid soft tissues and tendons, the mid face, the orbital tissues and bones, and the position of the eye itself. To an extent, canthoplasty can change the position, angle, and tension of the eyelid. To achieve a more dramatic and long lasting result, lower lid and/ or mid face support with a spacer graft, implant, or mid face elevation may be needed. An in person examination to assess your individual anatomy is needed to determine what your options would be.  Your goal is to alter your appearance rather than restore youthfulness. The risk you run with surgery is that if you do not achieve your desired look, your youthful eyes may appear surgical. This is something that you need to think about carefully.  If you are serious about pursuing your options, then you should consult with an oculoplastic surgeon. They can assess your anatomy, and provide you with realistic options, risks, benefits, and alternatives. Best regards, Ira Vidor, M.D.