25 year old male, with inherited rounded eyes, lower eyelid retraction (eyelid too low) with sclera show (white showing under colored part of eyes), underwent lower eyelid retraction surgery (with internal Alloderm graft) and canthoplasty, resulting in elevation of the lower eyelids and creating more attractive almond shape eyes. He also had tear trough silicone implants placed. Preop and 4 months postoperative photos are shown.