How Can I Get A More Narrow Oval-Shaped Eyes?

Q: Dr. Eppley, I have a bit of a flat face and the outer ends of my eyes hang lower than they should for sure. So I’m wanting to get them lifted a little as shown by my finger in the second picture. I think a lot of people go crazy over wanting cat eyes or siren eyes. That’s not me I still want to look like myself I just want slightly more narrow oval shaped eyes.

A:Thank you for sending your pictures. There is a correlation between your flat face and your lower eyelids position as there is a near one-to-one relationship between the position of the lower lid and the shape of the bone that is underneath or supports it. While I have not seen a side view picture you most likely have a negative orbital vector which is the classic indication of a significant skeletal deficiency. This is why to help reposition your eyelids the skeletal deficiency needs to be addressed through custom infraorbital – malar implants. These almost have to be combined with spacer grafts to the lower eyelid and then some form of a lateral canthoplasty. While it is easy to take your finger and push up the lower eye lids it is not so easy to do so surgically and have it stray there over time.

Dr. Barry Eppley

Plastic Surgeon