It is possible to change the appearance of the eyes with eyelid surgeries. But to what extent, for what purpose, and to what limit?

Let’s say from the beginning; It is not possible to choose the eye model you like from the catalogue.

Let my eyes be slanted like seeds, like almonds, round like Disney characters, let my face cover tomorrow, like such and such an actress… Dear patients, do not come to us with these.

Every individual has a unique eye shape and every eye is unique and beautiful. There is no such thing as an ugly or repulsive eye shape, except for some congenital, acquired or aging-related deformations defined in the field of aesthetic surgery. Moreover, even deformations are open to discussion to some extent when it comes to facial beauty.

For example, the appearance of the white of the eye as a result of the lower eyelid being lower than the pupil is a deformity that we call “Scleral Show” in plastic surgery. This deformity can be a complication of lower eyelid surgeries, or it can be a defining feature of the beautiful eyes of beauty icon women like Türkan Şoray.
So in what situations and how can we change the appearance of the eye?

Let’s think of eyelids like a hammock. We call the extreme corners where the hammock is attached to the trees “kanthus”. These corners correspond to the points where the eyelids attach to the bony skeleton in anatomy. There is also a very complex connective tissue and muscle structure that moves this hammock.

As a basic principle, all surgeries that change the shape of the eyelid cause some degree of damage to these mechanisms. For this reason, you cannot operate an eyelid, for example, 10 times. After 3-4 times, the slippery planes between the tissues and the microscopic anatomy of the tissues may deteriorate at a level that cannot be corrected by surgery.

The first and most important situation in which we change the shape of the eyelid is “reconstruction surgery”, that is, the correction of congenital, traumatic, tumoral or secondary deformations of the eyelid that develops after plastic surgery. In other words, surgeries in which deviations from normal are tried to be brought closer to normal. Depending on the size of the deformity in the eyelid, it is possible to reconstruct the canthus or redesign these points where the lid attaches to the bone, repair the muscles that open and close the upper eyelid, repair the mechanisms that close and keep the lower lid open, and regulate the deficiencies or excesses of the skin on the lid.

The second important situation in which we change the shape of the eyelids is the precautions we take to protect the patient from the complications of plastic surgeries. Especially in lower eyelid surgeries, we may need to shape the outer corner of the lower eyelid hammock, namely the lateral canthus, in order to prevent the eyelid from pulling down and turning away from the eye after the operation. In this region, it may be necessary to shorten the loosened ligament or the lid, to hang the muscle tissue at a higher level to carry the eyelid and keep it taut, or to completely release the point where the lid attaches to the bone and fix it to the bone in a new position.
My aim here is not to confuse surgical techniques, but to explain how specific the decision and implementation process is. When undergoing lower eyelid rejuvenation surgery, we make sure to inform patients with weak eyelid support mechanisms that “in order to maintain the shape of the eyelid in the long term, you may need to have slanted eyes in the early period, this situation usually takes 6-12 weeks to return to normal, but in some techniques it may take up to 1 year”. .

Apart from these requirements, by describing on the smartphone screen of our patients, whose aging-related changes in the eye area are not yet at a level that requires surgery; We have to leave her requests unanswered, whether my eyes are slanted like this girl’s, almonds, olives, ahu, and şehlla like hers.
Because we do not have data such as risks, complication rates, long-term results of surgical interventions to be performed in this patient group yet. My advice to you is not to be a candidate for any surgical procedure that has not passed the test of time, has not entered the literature, has not been presented in international congresses, and is not accepted by the majority of the plastic surgery community. No matter how cool the name of the surgery sounds, how cute the doctor is, no matter how often we hear it on TV and social media…
Stay on the safe side.
Stay with love
Stay beautiful.

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