Does eyelid surgery change your eye shape?

The Detail Behind the Answer

The lower eyelid is the higher-risk of the two. It is supported by the canthal tendons and the tarsal plate, and a lid with pre-existing laxity will be pulled downward by post-operative scar contracture unless that laxity is addressed at the time of surgery, often with a canthopexy or canthoplasty.

The screening test is simple and is performed at consultation: gentle downward traction on the lower lid, released, should snap back promptly. Delayed return indicates laxity and changes the operative plan.

Limits of this answer

• This page answers the question in general terms. It cannot account for an individual anatomy, medical history, or prior surgery, none of which are visible without an examination.
• Where a figure or interval appears, it describes a typical range reported in the surgical literature and in practice, not a promise about any single case.

Frequently asked questions

Does eyelid surgery change your eye shape?

Correctly performed eyelid surgery should not change eye shape. Shape change occurs when too much skin is removed, when lower lid support is not respected, or when lateral canthal position is altered, and it presents as rounding, scleral show, or a downturned lateral corner.

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