Changing the shape and shape of the eyes (canthopexy and canthoplasty)

For various defects of the iris, the doctor may prescribe a surgical correction called iridoplasty. What indications exist for such an operation and how it is performed will be discussed in this article.

Plastic surgery to correct defects in the iris and restore its integrity is called iridoplasty. It can be carried out either independently or in combination with other types of surgical interventions - for example, removal of synechiae, corneal transplantation, lens replacement.

Iris surgery is a complex operation that is usually performed by a team of experienced surgeons who have undergone special training.

The essence of the operation to change the shape of the eyes

The size of the eye orbits cannot be changed, but the sculpture of the folds in the periorbital region allows you to adjust the location of the palpebral fissure, make it wider or, conversely, reduce it. There are several methods of eye enlargement surgery, through which a person acquires a more attractive and youthful appearance:

• Canthoplasty is a change in the shape of the eyes through correction of the corners. The surgeon cuts the skin at the junction of the upper and lower eyelids, if necessary, excises excess tissue and redistributes fat cells. The incision should not be larger than 5 mm, because the lashless edge will look unnatural. Lateral canthoplasty involves working with the external angle, medial - with the internal. The first method is used more often. Medial canthoplasty is indicated for tissue scarring or pathology of the upper folds.
• Canthopexy – elimination of sagging lower eyelid. The surgeon lifts and fixes the canthal tendon with several sutures. In this way, you can not only “erase” the signs of aging, but also make almond-shaped eyes.
• Epicanthoplasty is the removal or softening of the fold between the inner corner of the eye and the bridge of the nose. Sagging skin is typical for people of the Mongoloid race. Through epicanthoplasty, the doctor eliminates this sign and makes the gaze open.

All operations are united by the common name “sangapuri”, which translated from Japanese means “upper eyelid fold”. It was in this country that the practice of such operations began.

Popular types of arrows for different eye shapes

Eyelid makeup is usually divided into two types - arrows and shading, or “smoky eyes”. Arrows are clearly drawn lines on the eyelids in a certain way. They are used as an excellent tool for visually changing the shape of the eyes and their size. The result obtained will depend on the tool used to draw the arrow, as well as on the cosmetic product and its shade.

There are at least six different eyeliner shapes. The main selection criteria are the type of face and the purpose of makeup. Even deep-set eyes can be highlighted favorably with thin eyeliner in light brown tones. How to draw arrows for different eye shapes?

Shapes of arrows for different eye shapes:

• Thin . They are applied in one continuous thin line, following the natural contour of the upper eyelid and ending behind the outer edge of the eyelid. Used for everyday makeup.
• Thick . They are drawn by analogy with thin lines, but with a larger line width. They create a more “theatrical” effect, so they are recommended for evening looks. The thickness of the line is selected individually - correctly selected will make your eyelashes visually thicker.
• "Wings" . The colored line gradually thickens closer to the corner of the eye, visually lifting it, the “wing” is directed towards the eyebrow.
• Felines . The outline of the entire eye is outlined, with the outer and inner corners sharpened. Suitable for evening makeup, as it highlights the eyes very brightly.
• Wide glamorous . Elongated “wings”, the distinctive feature of which is an even greater thickness of the line. Used for festive and stage make-up.
• Creative . Lines of different geometric shapes that do not follow the natural curve of the eyelid - straight, square. It is used by makeup artists for the makeup of models on catwalks and photo shoots, as well as by brave girls who want to emphasize their originality in this way.

Basic arrows for different eye shapes (with photo):

Classic.

Wing lines are a classic eyeliner look for all eye shapes. To draw them, use liquid eyeliner, pencils or markers.

To ensure that the curve of the “wing” is the same in both eyes, various devices are used:

• scotch;
• spoons;
• rulers.

By first sticking tape on your eyelids or applying a spoon or ruler, you will get a perfectly even contour.

With a certain skill and procedure, additional tools will not be needed, the main thing is that your hand does not shake when drawing the line:

1. Place a dot where the arrow tips meet.
2. Draw a line from the inner corner of the upper eyelid to the outer corner along its curve.
3. From the middle of the eye, begin to smoothly thicken the line, bringing it to a point.
4. Draw a line from the outer corner of the eyelid to a pre-set point.
5. Shade the area inside the arrow.

Double.

If you are good at drawing classic arrows, you can try double ones.

This technique makes the look more expressive and focuses attention on the eyelashes, making them thicker:

1. First, apply shadow to your eyelids, choosing a shade depending on the purpose of the makeup - either neutral or bright colors can be chosen.
2. After that, draw the usual classic arrows.
3. Choose a place for the second line - it can be drawn along the lower eyelid or be a branch of the main one. To make double stripes look harmonious, try to make them the same thickness and in the same direction.

Thick.

Eyes with wide wings look very impressive; this type of line visually makes eyelashes thicker, especially false ones, but requires careful application technique. Thick stripes should be originally conceived this way, and not be accidentally obtained from thin ones:

1. Draw a straight line along the curve of the upper eyelid, making it slightly longer than the contour of the eye, but not going too far as with thin arrows.
2. In the middle of the eyelid, mark an arrow line of maximum width; the strip should smoothly expand immediately from the inner corner of the eye.
3. Draw the top outline.
4. Paint the inside.

Cat's eye.

This style lifts the corners, changes the shape of the eye to an almond shape and enlarges it, giving the look a seductive look. A “cat eye” does not require a perfectly even, pronounced contour; it can be slightly shaded, so this makeup can be done with a pencil, marker or shadows.

“Cat eye” would be an ideal choice for a date, but it will not suit every office dress code:

1. Draw a sharp upward curve from the outer corner of the eye to the temple.
2. Draw thick lines.
3. Apply thin eyeliner along the contour of the lower eyelid to accentuate the look.
4. For the line, choose only black color; colored arrows will not give the desired effect.

Recommended reading:

Egyptian.

This is the common name for makeup in which the eyes are lined along the entire contour. It is also called Arabic, because traditionally this type of eyeliner of different shapes is accepted in the East. An excellent addition to Egyptian hands are gold-colored liquid shadows, rhinestones and sparkles. The result is a very bright and sexy image, suitable for a party or photo shoot.

Execution steps:

1. Completely outline under the eyelashes on the upper and lower eyelids.
2. Paint over everything with a thick line, emphasizing the pointed tips near the corners of the eyes.

Shaded.

Suitable for lovers of natural makeup, especially when using pastel shades.

Rules for drawing shaded arrows for different eye shapes:

1. Take a small amount of matte black-brown eyeshadow on a thin brush and apply it in a neat line.
2. Draw the outline again for better pigment application.
3. Follow the lower contour along the lash line with a black pencil.
4. Carefully blend the upper edges of the drawn arrow with a small clean brush, without affecting the lower contour, so that the makeup looks neat.

Indications for eye surgery

Patients have different goals - some want to enlarge the incision, others narrow it. Therefore, eye canthoplasty is performed using different methods depending on the indications.

To widen the palpebral fissure

Patients who want a more open look generally have the following features and defects:

• inversion of the lower eyelid as a consequence of blepharoplasty;
• congenital narrowing of the palpebral fissure;
• partial fusion of eyelids;
• epicanthus;
• swollen eyelid;
• deep-set eyes;
• eyelid deformation;
• asymmetry.

For plastic surgery to narrow the eyes

Patients who have:

• effect of bulging (“owl”) eyes;
• unaesthetic round shape;
• asymmetry;
• defect as a result of a previous invasion.

Progressive and safe method of eyelid correction

For those who want to get a beautiful, clear look, the Olvia clinic offers such an effective and in-demand procedure as upper eyelid blepharoplasty. The cost of the procedure is determined individually after an initial examination of the patient.

Experienced plastic surgeons at our clinic perform quality correction of the lower eyelids and plastic surgery of the upper eyelids. This type of operation involves the removal of fatty hernias and excess skin in the eye area, which makes it possible to achieve the desired result. Indications for blepharoplasty include not only age-related changes in the skin around the eyes, but also congenital defects, as well as the patient’s desire to change the shape and shape of the eyes. According to statistics, women over 35 years of age most often resort to this type of plastic surgery. However, in the last few years, a trend has emerged according to which men often also come to the clinic for such a procedure.

Who should not undergo eye surgery?

Transforming your appearance through surgery is not always possible. After the examination, the doctor will recommend postponing the operation (if the contraindications are relative and can be eliminated) or refuse to perform plastic surgery altogether. This:

• diseases of the heart and blood vessels;
• any chronic pathologies in the acute stage;
• virus;
• infection;
• neoplasm on any part of the body;
• pregnancy;
• lactation period;
• dry eye syndrome;
• hypertension;
• high intraocular pressure;
• intolerance to anesthesia.

To identify contraindications before plastic surgery for deep-set eyes, the composition of the blood and urine is analyzed, an electrocardiogram of the heart, fluorography of the respiratory organs, and a coagulogram are performed. For more detailed results, the doctor may prescribe additional instrumental examination.

How to perform eye plastic surgery to change shape

The technique depends on the method chosen to change the shape of the eyes through plastic surgery - to widen or narrow the palpebral fissure. There are common points and some differences.

Progress of eye enlargement surgery

Typically, the surgeon follows these steps:

• pain relief with intravenous or local anesthesia;
• cut in the outer or inner corner;
• removal or redistribution of fat deposits, skin excision if necessary;
• suturing;
• antiseptic treatment;
• adhesive bandage.

How to narrow the palpebral fissure

For patients wishing to reduce the size of their eyes, the operation is performed in the following sequence:

• general or local anesthesia;
• lateral incision;
• tightening of the eye muscles in order to lift the outer corner upward and create a “cat” look;
• suturing;
• treatment with antibacterial drugs;
• adhesive bandage.

How is iris plastic surgery performed?

There are two main methods of performing iridoplasty.

Intraocular suture technique.

If the iris defects are not significant, then most often the surgeon opts for a closed surgical treatment method, in which there is no need to open the eyeball.

The operation is performed under local anesthesia. The algorithm is as follows:

• Two or three small incisions are made on the eye.
• The anterior ocular chamber is filled with viscoelastic, a special substance that maintains volume and protects the eye tissue from damage during surgery.
• A needle is inserted into the formed holes and the required number of stitches is applied in order to correct the iris defect and change the shape and size of the pupil.

Installation of iridolenticular diaphragm (ILD).

Another way to perform iridoplasty involves the use of general anesthesia. During the operation, an iridolenticular diaphragm is implanted inside the eyeball - a special implant that combines an IOL (artificial lens) and an artificial iris. To install the prosthesis, the ophthalmic surgeon removes the vitreous body, and then, through an incision in the cornea, inserts a diaphragm, previously selected according to the patient’s individual parameters, into the eye.

Doctors note that the suture intraocular technique is a more gentle and safe method of treating iris defects and is rarely accompanied by postoperative complications. At the same time, ICD implantation allows the correction of iris defects that cannot be corrected using other methods. In particular, iridoplasty with ICD implantation is used in the treatment of complex cases of congenital aniridia and coloboma.

After surgical treatment, the patient must be prescribed antibacterial drops and medications with corticosteroids during the recovery period.

Recovery period

The rehabilitation time after surgery to change the shape of the eyes is 2 weeks. In the first 3 days, swelling, redness, and pain will increase. This is a normal reaction of the body to injury. To ensure healing goes faster and without complications, you should follow simple rules:

• treat the seams with antiseptics, and after a week - with antibacterial emollient ointments (if there are no allergies);
• sleep on your back with your head held high;
• do not strain your eyes by watching TV, reading, handicrafts, or driving;
• exclude physical activity;
• do not lean forward, wash your hair with your head thrown back;
• cook dishes with a minimum amount of salt, exclude marinades, canned food, sweet soda;
• drink plain water - 1.5 liters per day.

The sutures are removed on the 4th day; 2 weeks after the eye surgery, you can go to work. For another month, you should avoid direct sunlight and heat exposure. Cosmetics should be purchased only hypoallergenic.

What complications can there be?

The success of the operation directly depends on the experience and qualifications of the surgeon. Properly performed eye enlargement with plastic surgery has inevitable side effects:

• edema;
• redness;
• cyanosis;
• pain.

They will increase over the first 3 days. To alleviate the condition, analgesics are prescribed.

Then recovery begins, and the condition of the periorbital area gradually returns to normal. If the rules of rehabilitation are violated, due to a surgeon’s error or the body’s individual reaction, complications are possible:

• conjunctivitis;
• wound infection;
• eversion of the eyelid;
• seam divergence;
• diplopia (double vision);
• temporary visual impairment;
• protrusion of the eyeball;
• asymmetry;
• tissue scarring.

Complications

Common surgical side effects include:

• Hematomas and seromas. If there is no improvement within five days, aspiration is necessary.
• Infection. Antibacterial therapy is required.
• Formation of a rough scar. Explained by incorrect sutures. Eliminated by laser resurfacing.
• Eye asymmetry. It results from different fold heights.
• Bleeding. It is an individual feature of the patient. Occurs in the first few hours after completion of the operation.
• Seams coming apart.
• Drooping of the upper eyelid.

Among the specific complications after plastic surgery of Asian eyes are:

• Dryness and pain. Goes away on its own after 10 days.
• Tearing. The reason is the displacement of the glandular ducts.
• Aseptic conjunctivitis and dry keratoconjunctivitis.
• Inversion of the eyelid. For ectropion, a special massage is necessary.
• Upper eyelid separation. Repeated surgery is required.
• Tension in the outer corners of the eyes. It can be removed surgically.
• Feeling of double vision. Diplopia occurs when muscle fibers are damaged. After three weeks it disappears without the help of a doctor.

Price

The price of surgery to change the shape of the eyes is 45-50 thousand rubles or 800 dollars. You can find more democratic proposals. This is not always the worst option if the clinic is running a promotion. But still, the priority should be the reputation of the institution, the experience and high qualifications of the surgeon.

Plastic surgery with conventional dissection is simpler; surgery with eye muscle tightening is more complex and cannot be trusted to a “newbie.”

When choosing a clinic, you should consult with several surgeons, find out in detail what canthoplasty is, whether it will help achieve the desired result, and whether it is worth the risk if the changes are insignificant.

Eye enlargement surgery: before and after photos

The results of the changes will be fully visible after 2 months. When the eyes are enlarged, a double upper fold will appear; if it was not there, the bags under the eyes will disappear, the look will become open and attractive. By reducing the palpebral fissure, the appearance will be closer to the eastern one, and a tempting gaze will appear that excites men’s hearts.

The result lasts for 5-15 years depending on the elasticity of the skin, the patient’s lifestyle and the age at which the operation is performed.