Which procedure would help me achieve my desired results? Is my goal realistic?

Question

I’ve used face tape to lift and reshape my eyes, with my left eye as an example, and I love the result. I took before-and-after photos showing how the tape improved the appearance. I’m unsure which procedure, such as blepharoplasty or canthoplasty, would best achieve this effect on both eyes. Can this outcome be realistically achieved through surgery, and what specific approach would you recommend?

Chet Mays, MD · Answer

Thank you for your inquiry! We would love to see you in person and discuss your options.  Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals!

Tanya T. Khan, MD · Answer

You will likely benefit from a combination upper eyelid ptosis repair and upper blepharoplasty to relieve the heavy skin and stretched out muscle that is causing redundant folds and eyelid droop. Please visit an experienced oculoplastic surgeon for best results.

Kenneth D. Steinsapir, MD · Answer

There is absolutely not substitute for a detailed, in person assessment. You have bilateral upper eyelid ptosis with compensatory brow elevation. You also have a slightly negatively placed lateral canthal angle. Your upper eyelid has a hollow sulcus and a high crease which is consistent with a central levator disinsertion ptosis. To repair this I recommend an anterior levator resection ptosis surgery with an anchor blepharoplasty and release of the pre-aponeurotic fat. The lateral canthal angles can be adjusted with lateral canthoplasty at the time of ptosis surgery.

Steve Laverson, MD, FACS · Answer

A well performed bilateral canthopexy to your lateral orbital rims is a two hour procedure that will permanently elevate the outside corner of your eyes.  Some of our patients want more dramatic elevation which we classify as a "Bratz" blepharoplasty, after the eyelid shape of the original Bratz dolls.  Our bilateral canthopexy is a routine part of lower eyelid blepharoplasty to support and position the lower eyelids in accordance with patient preferences for shape of their palpebral aperture (visible portion of eye).

Nelson Lee Novick, MD · Answer

You might wish to consider the simple use of an appropriate HA filler injected properly by an expert filler injector to elevate the outer third of the eyebrows to create a more feminine upward and outward flare of the outer third of the eyebrows. This can be quite easily achieved, nonsurgically, in a matter of about ten minutes by an experienced, board certified cosmetic dermatologist filler injector and with immeidiate, on the spot results and little to no significant downtime. Hope this helps and best of luck.

Emine Demir, MD · Answer

For your eyes, it’s possible to do the temporal/ brow lift and canthoplasty to fix the droppy and sleepy look

Berat Cigdem, MD · Answer

Based on your photos and the results you’re looking for, a temporal lift combined with a canthoplasty would be a great option to achieve the desired lift and reshaping of your eyes. The temporal lift helps elevate the outer brow and upper eyelid area, while the canthoplasty reshapes and lifts the outer corner of the eye, giving a more defined, lifted appearance.
Since you’ve already seen improvement with face tape, these surgical options can likely replicate those results in a more permanent and natural-looking way. However, I’d recommend scheduling an in-person consultation to assess your anatomy and goals in detail and confirm if this approach is the best for you.

Raja Mohan, MD · Answer

A cat eye lift, also known as a fox eye lift, is a cosmetic procedure that creates a more lifted, almond-shaped appearance for the eyes. The procedure can be performed using a variety of techniques, including surgical and non-surgical methods. Here are some ways to achieve a cat eye lift: Cat eye thread liftA non-surgical procedure that uses dissolvable threads to lift the upper eyelids, eyebrows, and temple. The threads are inserted below the brows and pulled and anchored near the hairline. The effects of the threads will fade after a few months and completely after about a year. CanthoplastyA surgical procedure that involves lifting, tightening, and repositioning the outer corner of the eyelids. This can be done in combination with a blepharoplasty, which removes excess skin or fat from the eyelids. BotoxInjections of botulinum toxin can temporarily freeze the muscles around the brow, creating a wider, lifted effect. Hyaluronic acid fillersThese stimulate collagen production to temporarily increase fullness and plumpness. Dermal fillersOther types of dermal fillers may last longer than Botox or hyaluronic acid fillers. The exact plan of treatment for a cat eye lift will vary from patient to patient and will be determined during a consultation with a doctor.

Anand R. Kumar, MD · Answer

A canthoplasty would be the appropriate operation to move the corner of the eyelid or lateral campus to a more favorable or upward position. As you are simulating in the taping maneuvers you have shown on your photographs. Blepharoplasty on the other hand is a procedure Of the upper eyelid that typically removes excessive skin with adjustment of the fat and muscle as needed. 
Trust your face with a cranio-facial surgeon!

Mats Hagstrom, MD (license on probation) · Answer

You don’t have excess skin on your upper eyelid so I don’t see any indication for a blepharoplasty. 
Ptosis repair could lift your eyelids. 
I suggest not having surgery unless you need it. 
Best,
Mats Hagström MD

Which procedure would help me achieve my desired results? Is my goal realistic?

Answers (10)