Eye surgery

Dual Canthoplasty (Lateral and Lower Eye Corner Surgery)

Dual Canthoplasty is a surgical procedure that expands the outer corner of the eye both outward and downward to create a larger, clearer look. It is particularly effective for correcting slanted eyes and achieving a softer, more open eye shape without visible scarring.

Who it suits

Individuals with short or narrow eyes who want to increase horizontal width.
Those with slanted or 'upward-tilted' outer corners who want a softer appearance.
People who feel their eyes are too small vertically and want a rounder, 'doll-like' look.

Technique highlights

Dual-plane expansion: Widens the eye both horizontally (lateral canthoplasty) and vertically (lower canthoplasty).
Internal anchoring: Fixes the tissue to the inner conjunctiva to minimize the chance of the corners closing back up.
Hidden scarring: Incisions are often made through the inner conjunctiva to keep visible scars to a minimum.

Surgical steps

The surgeon evaluates the eye shape and determines the degree of lateral and downward expansion needed.
Local anesthesia with IV sedation is administered for patient comfort.
An incision is made at the outer corner, reaching the inner conjunctival tissue.
Internal tissues that cause the corners to stick together are removed or redistributed.
The outer corner is repositioned and securely anchored to the conjunctiva before suturing.

Recovery & aftercare

Stitches are typically removed 7 days post-surgery.
Most major swelling and bruising subside within 1–2 weeks.
Avoid wearing contact lenses or heavy eye makeup for at least 2 weeks.
Avoid rubbing the eyes or activities that increase eye pressure during the first month.

Risks & things to consider

There is a possibility of conjunctival edema (swelling of the white of the eye) during the first week.
Over-correction may lead to the lower eyelid appearing slightly drooping or showing too much white.
As with any surgery, risks of infection, bleeding, or scarring exist depending on individual healing.

Frequently asked questions

How long is the recovery period?

Usually, stitches are removed 7 days after the procedure. Light daily activities can be resumed after 1 week.

Will the outer corners of my eyes close back up over time?

No, the 'Duo' technique involves anchoring to the internal tissue and conjunctiva, significantly reducing the chance of the skin closing back up compared to older methods.

I have 'fox eyes' or slanted eyes, will this help?

Yes, this procedure is highly recommended for people with slanted eyes, as lowering the outer corner creates a softer, more balanced facial appearance.

Cases in this area

Before & After gallery

Dual Canthoplasty (Lateral and Lower Eye Corner Surgery) — ID Hospital before & after

Case photos show individual results. Outcomes vary with anatomy and aftercare.

Other procedures in this area

Adapted from ID Hospital official material · View source page