Almond Eye Surgery

Almond eyes have slightly higher lateral canthus (outer corner of the eye) with the lower eyelids sitting just at the lower border of the iris (colored part of the eyeball) without any scleral show (white showing under the iris). Depending on the ethnicity, almond eyes are considered more beautiful and attractive and youthful.  Many people (men and women) are blessed with naturally inherited almond shape eyes 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. For patients in Los Angeles 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”), surgical improvement may be possible.

 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.
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 more almond shaped eyes. He also had tear trough silicone implants placed.
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 more almond shaped eyes. He also had tear trough silicone implants placed.

How to achieve almond shape eyes?

 

Video showing Dr. Taban on the CBS Doctors TV Show discussing almond and bedroom eye surgery.

Video showing Dr. Taban on the CBS Doctors TV Show discussing almond and bedroom eye surgery.

 

Video showing young man undergoing lower eyelid and canthus elevation plus droopy upper eyelid ptosis surgery give more almond shaped eyes.

Video showing young man undergoing lower eyelid 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.

Young woman, with congenital lower eyelid retraction and negative canthal tilt, undergoes almond eye shape change via lower eyelid retraction surgery and canthoplasty.

 

Young woman, with congenital lower eyelid retraction and negative canthal tilt, undergoes almond eye shape change via lower eyelid retraction surgery and canthoplasty.

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.

Click to Read

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

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

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Read Dr. Taban's Manuscript about Combined Orbital Decompression and Eyelid Retraction Surgery.

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Dr. Mehryar Taban Manuscript Bulging Eyes and Eyelid Retraction

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

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Los Angeles Eye Shape Procedures
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 so it will NOT be enough as a stand-alone procedure to achieve natural looking almond eyes if the lower eyelids are also too low or vertically tight with lower eyelid retraction and scleral show.  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 also published multiple manuscripts on lower eyelid retraction surgery to reduce scleral show, including:

Another rare confounding factor is if the patient has large protruding eyes, 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 blepharoplasty, eyelid ptosis surgery, and brow lift.

 

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

What to expect during and after almond eye surgery?

Almond eye surgery is performed under local anesthesia with or without conscious sedation. It is important 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 surgery and is expected to have bruising/swelling for 7-10 days. Pain is mild and only for the first day, controlled by oral medication. The patient 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 to achieve natural results and avoid dramatic changes to your eye and facial appearance (such as over-pulled or “Catwoman” appearance).  Achieving symmetry is also critical.  Mehryar Ray Taban, MD is an experienced oculoplastic surgeon with expertise in cosmetic eyelid surgery and almond eye surgery. He has offices in greater Los Angeles area (Beverly Hills and Santa Barbara).

*See disclaimer below

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.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.
Before (left) Preop canthoplasty, Quad-blepharoplasty, ptsois surgery and 3 months after (right photo) postop with more almond shape 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.


Before (left)and 3 months after (right) cosmetic orbital decompression, lower eyelid retraction, and canthoplasty
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) Middle age woman with right lower eyelid retraction after previous lower blepharoplasty, now needing revision cosmetic surgery. After (right) 4 months after right lower eyelid retraction surgery with internal alloderm graft, midface lift, canthoplasty, giving more natural almond shape eye appearance. (later she would also benefit from ptosis surgery and brow lift).
Before (left) Middle age woman with right lower eyelid retraction after previous lower blepharoplasty, now needing revision cosmetic surgery. After (right) 4 months after right lower eyelid retraction surgery with internal alloderm graft, midface lift, canthoplasty, giving more natural almond shape eye appearance. (later she would also benefit from ptosis surgery and brow lift).


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 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 male, with inherited lower eyelid retraction and sclera show, underwent Almond Eye Surgery (lower eyelid retraction surgery with alloderm spacer graft, canthoplasty, tear trough implant) to give more attractive almond-shaped eyes. Before and 3 months after surgery photos are shown.
Young male, with inherited lower eyelid retraction and sclera show, underwent Almond Eye Surgery (lower eyelid retraction surgery with alloderm spacer graft, canthoplasty, tear trough implant) to give more attractive almond-shaped eyes. Before and 3 months after surgery photos are shown.


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 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 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. 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 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.
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 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.
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.

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.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.

 

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Next, read about Eye Shape Change procedures.

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

I am a 25 year old male who went to Dr. Taban seeking cosmetic improvement of my eyes and midface. My lower eyelids were fairly droopy …with lots of “scleral show”. … I decided to proceed with orbital/malar implants w/midface lift, and raising of the lower eyelids through his retractor “lysis” and graft method. … The aesthetic improvement my face attained is profound. …

SystemicOperations

SystemicOperations November 2, 2016

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