Almond or Fox-Eye Surgery
- Modifies lower lid contour to achieve an almond eye shape.
- Addresses sagging lower lids.
- Features slightly raised outer corners and lower eyelids aligned with the iris edge.
Psychological Impact:
- Eye appearance greatly influences perceived attractiveness and communication.
- Certain eye shapes are considered more desirable in various cultures.
Procedure Focus
- Alters eye shape rather than reducing skin or eye bags
- Ideal for younger patients seeking aesthetic improvements.
Techniques Used
- Ptosis correction to raise the upper lid position.
- Canthoplasty to lengthen the eyelid.
- Levator recession or Mullerectomyto lower the upper lid and reduce palpebral fissure height.
Causes of Lower Lid Sag
- Pathological causes include dermatitis, burns, skin tumours, thyroid eye disease, and inflammation.
- Constitutional causes are often seen in myopic patients with protruding eyes and canthal dystopia.
Surgical Details
- Requires skilled surgeons and careful planning.
- Involves lower lid septo-retractor recession, spacer-graft implantation, and lateral canthoplasty.
- Performed under local or general anaesthesia with internal incisions, leaving no noticeable scars.
Safety and Recovery
- Safe when performed by experienced surgeons.
- Recovery period is 2-3 weeks, with bruising and swelling for 7-10 days.
- Extended recovery may be needed for patients with chemosis or protruding eyes.
- Bandage contact lenses and prophylactic antibiotics are used during recovery.
Results
- Provides natural and long-lasting improvements.
- Elevates the lateral and central parts of the eye by 2-3mm.
Considerations
- Requires detailed examination of eyelids and eyes.
- Negative vector eye configuration and existing ocular surface disease may affect outcomes.