Canthoplasty is a highly specialized eyelid procedure designed to reshape and support the outer corner of the eye–also known as the lateral canthus. Often referred to as Almond Eye Surgery or droopy eyelid correction, canthoplasty can subtly transform the eye shape, lift the outer corners, and correct lower lid laxity, all while preserving natural harmony and function.
At her Irvine practice, Dr. Melanie Ho Erb performs canthoplasty with precision, artistry, and deep anatomical knowledge. As a double board-certified oculoplastic surgeon, she brings the highest level of training to every eyelid and periocular procedure. Whether your concern is age-related drooping or you’re seeking a more lifted, almond-shaped eye, Dr. Erb customizes each surgical plan to match your facial anatomy, ethnicity, and personal goals.
Wow!!! I look so much younger, all thanks to Dr. Erb. This was the best decision I made and I am beyond satisfied with the results. My experience with Dr. Erb has been wonderful and she is very patient and thorough with explaining/answering all my questions I had before and after surgery. My before and after pictures speak for themselves
What Is Canthoplasty?
Canthoplasty involves repositioning and tightening the outer corner of the eyelid to create a more youthful, supported eye shape. It is often used to:
- Lift sagging or downturned outer eyelids
- Correct eyelid laxity (looseness or instability)
- Refine the shape of the eye to an almond-like contour
- Provide support during or after lower eyelid surgery
- Correct congenital asymmetry or previous unsatisfactory results
Unlike cosmetic treatments that merely soften wrinkles, canthoplasty addresses the structural integrity of the eyelid, helping prevent long-term drooping, rounding, or sagging that can occur with aging or genetics.
When Is Canthoplasty Recommended?
Canthoplasty is often recommended for patients who:
- Have naturally downturned or rounded eyes
- Experience drooping or sagging of the outer eyelid
- Are undergoing lower lid blepharoplasty and need added support
- Want a refined, almond-shaped contour
- Have eyelid asymmetry or previous complications from cosmetic procedures
- Are noticing changes in eyelid position after filler use or age-related laxity
It can be performed as a standalone procedure or in combination with other surgeries like lower blepharoplasty, cheek lift, or ptosis repair for comprehensive rejuvenation.
Dr. Erb’s Technique and Philosophy
Dr. Erb’s goal in canthoplasty is always the same: to enhance and support the eye shape without making it look altered, tight, or unnatural. Her technique focuses on lifting and tightening the lateral canthus in a way that:
- Maintains the natural eyelid contour
- Preserves tear function and blink integrity
- Avoids over-correction or a “pulled” appearance
- Enhances symmetry between both eyes
“Canthoplasty is about subtle strength. When done well, it lifts and supports the eye, improves shape, and prevents long-term lid changes–all without drawing attention to itself.” – Dr. Melanie Ho Erb
What to Expect from Almond Eye / Droopy Eyelid Surgery
The procedure is typically performed in Dr. Erb’s Irvine office using local anesthesia with optional sedation. It usually takes 30-60 minutes, depending on the complexity and whether other procedures are performed at the same time.
- Incisions: Made discreetly at the outer corner of the eyelid
- Recovery time: Most swelling and bruising resolve within 1-2 weeks
- Stitches: Usually removed or dissolve within 5-7 days
- Results: Eyes appear more lifted, youthful, and balanced
- Scarring: Minimal and concealed in natural folds of the eyelid
Frequently Asked Questions About Canthoplasty
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No. Canthopexy is a less invasive tightening technique that doesn’t reposition the eyelid. Canthoplasty is a more definitive procedure that involves cutting and securing the lateral canthal tendon for long-term results.
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When performed by an expert like Dr. Erb, it can enhance and support your existing shape without making you look different. The goal is refinement, not transformation.
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Absolutely. It’s often paired with lower eyelid surgery, cheek augmentation, or even filler revision to improve under-eye structure and support.
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Most patients experience only mild discomfort, which is easily managed with cold compresses and oral medication. Dr. Erb prioritizes patient comfort and gentle technique.
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Not at all. Some patients in their 30s or 40s opt for canthoplasty to correct congenital asymmetry or prevent future sagging. Others seek it as a revision after poor results from fillers or previous eyelid surgery.
Why Choose Melanie Ho Erb, MD?
Dr. Erb is board-certified by the American Board of Ophthalmology, with additional fellowship training through the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). Her academic and surgical background spans USC, UC Irvine, and UCLA, and she has published extensively in surgical textbooks and peer-reviewed journals. She’s also been honored as a Castle Connolly Top Doctor, Southern California Super Doctor, and Vitals Patients’ Choice Award recipient for over a decade.
Meet Dr. ErbReady to Discuss Almond Eye Surgery in Irvine?
Whether your goal is to lift drooping corners, enhance symmetry, or refine your eye shape, canthoplasty may be the key to a brighter, more youthful appearance. With unmatched eyelid expertise and an artistic eye, Dr. Melanie Ho Erb delivers subtle but transformative results.
Schedule your private consultation in Irvine to learn if almond eye or droopy eyelid surgery is right for you.
Medically reviewed by Melanie Ho Erb, M.D. on