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Almond Eye Surgery

What is Almond Eye Surgery?

Depending on the ethnicity, almond eyes (such as Bella Hadid eyes or Kendall Jenner eyes) are considered more beautiful and attractive and youthful. Almond Eye Surgery creates slightly higher lateral canthus with the lower eyelids sitting just at the lower border of the iris without any scleral showing. In other words, the outer corner of the eye and colored part of the eyeball have white showing under the iris.

Many people are blessed with naturally inherited almond eye shape. Although, that is not to say, non-almond eyes cannot be beautiful. There are a variety of other factors that make eyes beautiful and ethnic variations exist. Surgical improvement may be possible for patients in Beverly Hills who have rounded outer canthus and/or lower eyelids that are rounded and rest too low with sclera show (either inherited or as result of prior surgery “post-blepharoplasty eyelid malposition”).
24 year old male, complained of looking sad and tired due to inherited lower eyelid retraction with negative canthal tilt and droopy upper eyelids (ptosis). He underwent almond eye surgery (lower eyelid retraction surgery using scar-less transconjunctival technique and canthoplasty) and upper eyelid ptosis repair. Before and 3 months after eye plastic surgery photos are shown.
Young male with congenital rounded eyes and lower eyelid retraction with scleral show who underwent lower eyelid retraction surgery with internal Alloderm graft and canthoplasty, resulting in elevation of the lower eyelids and creating more of an almond eye shape. He also had tear trough silicone implants placed.

How to achieve Almond Eye Surgery?

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Video showing Dr. Taban on the CBS Doctors TV Show discussing bedroom and almond eye surgery.
Video showing young man undergoing lower blepharoplasty and canthus elevation plus droopy upper eyelid ptosis surgery give more almond shaped eyes.
Young woman, with congenital lower eyelid retraction and negative canthal tilt, undergoes almond eye shape change via lower eyelid retraction surgery and canthoplasty.
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Video selfie of a happy transgender woman who underwent almond eye surgery with lower eyelid retraction surgery and canthoplasty, customized infraorbital rim silicone implant, customized orbital decompression, and upper eyelid filler.
Young transgender female underwent eye reshaping surgery to have less bulging and more uptured almond eyes. Procedure included scarless orbital decompression, lower eyelid retraction surgery with canthoplasty (almond eye surgery), and customized infraorbital rim silicone implant.

For some, naturally looking almond eyes can be achieved through lateral canthoplasty, where the outer corner of the eye (lateral canthus) is repositioned and/or tightened. Lateral canthoplasty is a delicate procedure which should be done by an expert oculoplastic specialist. Dr. Taban has published a manuscript describing a minimally invasive technique to accomplish lateral canthoplasty, entitled “Aesthetic Lateral Canthoplasty.

Read Dr. Taban’s manuscript Lower Eyelid Retraction Surgery without Internal Spacer Graft.

Read an Article by Los Angeles’ Dr. Taban about his Lateral Canthoplasy techniques.

Read an Article by Los Angeles’ Dr. Taban about Alloderm for Lower Eyelid Retraction Surgery.

Read Dr. Taban’s manuscript about En-glove Lysis for Lower Eyelid Retraction Surgery.

Toys illustrating an exaggerated difference between round and almond eye shapes.
Toys illustrating an exaggerated difference between round and almond eye shapes.

It is important to note that Canthoplasty does not lift the lower eyelids by itself. For that reason, if the lower eyelids are too low or vertically tight with lower eyelid retraction and scleral show, it will NOT be enough as a stand-alone procedure to achieve natural looking almond eye shape. In these instances, additional procedures are necessary such as lower eyelid retraction surgery (with or without internal eyelid grafts) and/or midface lift to elevate the lower eyelids and release any vertical tension that will pull the lower eyelids and lateral canthus down if not properly addressed.

In other words, what is needed to correct scleral show may be more than just Canthoplasty. Dr. Taban has published multiple manuscripts on lower eyelid retraction surgery to reduce scleral show.

Another confounding factor is if the patient has large protruding eyes or negative orbital vector, which can cause the lower eyelids to be pushed down. These patients may require additional procedures.

Almond eye surgery can be combined with other cosmetic eyelid procedures, if desired, such as blepharoplastyeyelid ptosis surgery, and brow lift.

Fox eye surgery is a variation of procedures discussed above to create more upturned eye appearance or “fox eyes”. It is important to maintain natural results and function of the eyes.

To learn more about cosmetic eye surgery, visit WebMD.com.

What to expect during and after almond eye surgery?

Almond eye surgery may be performed under local anesthesia with or without conscious sedation, dependent on extend of surgery It may be useful for the patient to be able to open his/her eyes during surgery to achieve an optimal outcome. As with most eyelid procedures, the patient goes home after Almond Eye Surgery. Consequently, patients expect to have bruising/swelling for 7-10 days. Pain is mild and only for the first day, controlled by oral medication. Patients in Los Angeles can resume normal activities after about a week, although complete healing takes weeks to a few months.

As mentioned earlier, Canthoplasty and Almond Eye Surgery should be performed by an experienced Oculoplastic Surgeon. This is to achieve natural results and avoid dramatic changes to your eye and facial appearance. Mehryar Ray Taban is an experienced Beverly Hills Oculoplastic Surgeon specializing in almond eye surgery. Dr. Taban has offices in greater Los Angeles area (Beverly Hills and Santa Barbara).

Before & After Photos

*See disclaimer below

27 year old transgender female, underwent eye transformation almond eye surgery including lower eyelid retraction surgery with canthoplasty, infraorbital rim silicone implant, orbital decompression bulging eye surgery, and upper eyelid filler injection. Before and 1 month after surgery photos are shown.

Woman who was unhappy about her eye shape and eye asymmetry, underwent eye plastic surgery including cosmetic bulging eye orbital decompression, infraorbital rim silicone implant, lower eyelid retraction surgery with canthoplasty, right upper blepharoplasty and left upper eyelid filler injection. Note more almond shaped and symmetric eye appearance in the after photo taken 1 month after almond eye surgery.

18 year old male, with congenital lower eyelid retraction with negative canthal tilt and droopy upper eyelids (ptosis) underwent almond eye surgery including lower eyelid retraction surgery (with internal alloderm spacer graft), canthoplasty, and upper eyelid ptosis surgery. Before and 3 months after cosmetic eye transforming surgery photos are shown.
Before (left) Preop canthoplasty, Quad-blepharoplasty, ptsois surgery and 3 months after (right photo) postop with more almond shape eyes.

Young man, with sad tired eye appearance, underwent lower eyelid retraction surgery with canthoplasty (almond eye surgery) plus infraorbital rim silicone implant. Note improved eye shape with more almond eyes.

Before (left) Lower eyelid retraction after previous aggressive lower blepharoplasty and 3 months after (right photo) revisional lower eyelid retraction surgery with midface lift, internal graft, and canthoplasty. Note the eyes are more almond shaped.
Before (left) Lower eyelid retraction after previous aggressive lower blepharoplasty and 3 months after (right photo) revisional lower eyelid retraction surgery with midface lift, internal graft, and canthoplasty. Note the eyes are more almond shaped.
Young male, complained of inherited droopy lower eyelids with sclera show and sad looking eyes. He wanted more almond shape eyes. He underwent lower eyelid retraction surgery (without spacer graft) to create more almond eyes.
Middle age male, with thyroid eye disease, who underwent orbital decompression followed later by lower eyelid retraction surgery and canthoplasty to give more almond shape eyes.
Young male, complained of inherited droopy lower eyelids with sclera show and sad looking eyes. He wanted more almond shape eyes. He underwent lower eyelid retraction surgery (without spacer graft) to create more almond eyes.
Young female complained inherited lower eyelid retraction with sclera show and eye asymmetry and rounded eyes. She underwent Almond Eye Surgery including lower eyelid retraction surgery (with soof lift, no spacer graft) and canthoplasty to create more attractive almond shaped eyes. Before and 6 months after cosmetic eyelid surgery photos are shown.

Young Asian female, with inherited bulging eyes, lower eyelid retraction with sclera show, underwent scarless orbital decompression and lower eyelid retraction surgery. She can now close her eyes normally with improved natural eye shape.

18 year old young man, with congenital droopy lower eyelids with negative canthal tilt and droopy upper eyelids (ptosis), looking sad and tired, underwent lower eyelid retraction surgery with canthoplasty and scarless droopy upper eyelid ptosis surgery. Before and 3 months after eye plastic surgery photos are shown.

32 year old female, with congenital lower eyelid retraction and canthal dystopia with mongloid slant, underwent Almond Eye Surgery (lower eyelid retraction surgery, soof lift, spacer graft, canthoplasty). Before and 3 months after almond eye surgery photos are shown.

Young transgender female underwent eye reshaping surgery to have less bulging and more uptured almond eyes. Procedure included scarless orbital decompression, lower eyelid retraction surgery with canthoplasty (almond eye surgery), and customized infraorbital rim silicone implant.

Young man, with genetic protruding eyes and sad tired eye appearance underwent cosmetic orbital decompression (bulging eye surgery), lower eyelid retraction surgery with canthoplasty (almond eye surgery) and infraorbital rim silicone implant. Note improved eye appearance.
Young woman, with genetic Sanpaku eyes with bulging eyes and maxillary hypoplasia (flat midface) and lower eyelid retraction, underwent cosmetic orbital decompression (to treat bulgy eyes), infraorbital rim implant (to treat flat midface) and lower eyelid retraction surgery (to elevated lower eyelids and eliminate sclera show).

Contact the LA Oculoplastic Experts

Learn more about how to remove forehead wrinkles from Dr. Taban a cosmetic eyelid surgeon, and the authority on Los Angeles oculoplasty surgery, can be contacted via our online support form or via telephone line at: (310) 499-2565.

Next, read about almond eye surgery.

*Disclaimer: Results vary from patient to patient. Results are not guaranteed.