Conditions
Almond Eye Surgery (Canthoplasty)
Quick answer
Almond eye surgery reshapes the outer corner of the eye so it sits slightly higher and longer, giving an almond-shaped look. It is usually done by canthoplasty or canthopexy, which tighten or reposition the tendon at the outer eye corner. It is an elective cosmetic procedure that also helps some people with a drooping or loose lower lid.
Medically reviewed by The Curaventa Team · Last updated 2026-10-27
The outer corner of the eye is held by a small band of tissue called the lateral canthal tendon. Canthopexy tightens this band without cutting it. Canthoplasty cuts and re-attaches it at a new position. Both can lift the outer corner and change the eye's shape.
People ask for this surgery for different reasons. Some want a more lifted, elongated look. Others have a lower lid that has sagged with age, after earlier eyelid surgery, or after facial palsy. An oculoplastic surgeon (an eye surgeon trained in eyelid surgery) or a facial plastic surgeon usually performs it.
Symptoms
- Outer eye corners that slope downward
- A round or tired look to the eyes
- Lower lid sagging away from the eyeball
- White showing below the coloured part of the eye
- Watery or irritated eyes from a loose lower lid
- Lid pulling down after previous eyelid surgery
Causes and risk factors
- Natural face and eye shape
- Ageing, which loosens the tendon and lid skin
- Earlier lower eyelid surgery
- Facial nerve weakness (facial palsy)
- Prominent eyes or a flat cheekbone area
- Dry eye disease, which raises surgical risk
How it is diagnosed
- Face-to-face assessment of lid position and tension
- Snap-back and lid distraction tests of lower-lid laxity
- Tear film and dry eye checks
- Vision test and eye examination
- Standard photographs for planning and comparison
When a procedure is needed
Surgery is considered when lid position or shape bothers the patient and the eyes are healthy. Doctors first treat dry eye and check that expectations are realistic. Some people get a temporary effect from fillers or thread lifts and may choose these instead.
Treatment options in India
| Treatment | When it is used | Published price (USD) |
|---|---|---|
| Blepharoplasty (Eyelid Surgery) | when extra lid skin or fat also needs removing, often combined with canthal tightening | On request |
Frequently asked questions
Is canthoplasty the same as a fox-eye lift?
No. A fox-eye lift usually lifts the brow tail and skin near the temple. Canthoplasty works on the tendon at the eye corner itself. Some people have both, but the risks and recovery differ.
Will my eyes look different straight after surgery?
The corners often look over-tight and swollen at first. Bruising and swelling settle gradually over the following weeks. The final shape takes several months to show.
What are the main risks?
Risks include asymmetry, a corner that slips down again, scarring, dry eye and difficulty closing the eye. A rounded or webbed corner can also happen. Choosing an experienced eyelid surgeon lowers these risks.
How long should I stay in India?
Plan to stay until stitches are removed and your surgeon has checked healing. Your surgeon will give you an exact date. Avoid flying with heavy swelling, and bring sunglasses for the journey.
Who should not have this surgery?
People with severe dry eye, active eye infection or unrealistic expectations are usually advised against it. Very prominent eyes may need a different approach. The surgeon decides after examining you.
Medically reviewed by The Curaventa Team. Last updated 2026-10-27. General information, not medical advice. Medical editorial board · Editorial policy · How we get prices
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