Canthoplasty surgery, also known as cat eye surgery, is a type of cosmetic eyelid surgery that alters the lateral canthus (the outer corner of the eye, where the upper and lower lid meet) by tightening and elongating the eye horizontally, to give it what’s known as a positive canthal tilt or upward slant.
By adjusting various muscles and ligaments, this type of oculoplastic surgery alleviates drooping at the outer corners of the eye and creates an almond-shaped or “cat” eye, which is why it’s sometimes called a cat eye lift.
The cosmetic procedure was traditionally performed to correct age-related upper eyelid laxity, but many younger patients in their 20s and 30s seek out this eye-shape-altering cosmetic surgery after seeing its results on social media and wanting more of an almond eye shape.
Lateral canthoplasty is often performed alongside a blepharoplasty (upper or lower eyelid surgery) or double eyelid surgery, but it’s a more specialized procedure that can be more technically challenging. For this reason, it’s best performed by a board-certified oculoplastic surgeon with membership in the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), both indicators of extensive training in ophthalmic reconstructive and cosmetic surgery.
Related: The Little-Known Eye Lift Procedure That’s Taking Over Hollywood
Pros
Cons
Your price will depend on your surgeon’s credentials, their practice location, and the complexity of your procedure.
Health insurance will not cover cosmetic canthoplasty, but your surgery may be covered if your canthoplasty is done to correct a medical condition.
Canthoplasty surgery is performed under either general anesthesia or local anesthesia with some form of sedation (oral or IV). It usually takes two hours or less.
Dr. Mehryar (Ray) Taban, a board-certified oculoplastic surgeon and ophthalmologist in Beverly Hills, explains that the desired shape is often achieved via a combination of upper and lower blepharoplasty. Your unique anatomy and desired result will determine the recommended treatment plan.
RealSelf Tip: Injectables, including under-eye fillers and Botox, can also rejuvenate and refresh the appearance of the eyes. By restoring natural volume and contours to the eyelids and surrounding areas, hyaluronic acid fillers can offer the illusion of a more lifted eye. Botox and other neuromodulators can also balance the muscle activity of the upper face, providing a subtle and temporary elevation of the brows and outer eyes.
As with other eyelid surgeries, it’s not uncommon for patients to need two to three weeks of recovery before returning to normal activities.
Here’s what to expect during the recovery period.
Canthoplasty risks common to any surgical procedure include the possibility of:
These complications should be rare if you follow your surgeon’s aftercare instructions.
Additional risks of altering your eye shape include:
Some surgeons, such as facial plastic surgeon Dr. Jonathan Cabin of Beverly Hills, don’t believe canthoplasty should be performed for cosmetic reasons. Dr. Cabin recommends that you speak to a board-certified oculoplastic expert if you’re considering it. Unless the patient has a medical condition, such as eyelid malposition (including ectropion or entropion eyelids), ptosis (drooping eyelid), or chronic dry eyes, he prefers to stick with a lateral brow lift or a combination of upper and lower blepharoplasty.
A canthoplasty lifts the lateral canthus, while a less invasive canthopexy procedure strengthens and stabilizes the lateral canthal tendon and surrounding internal structures of the lower eyelid, without cutting or detaching the tendon and muscles.
Both eye surgeries can make eyes look younger. But rather than changing the shape of the eyes, a canthopexy improves muscle tone and helps elevate sunken eyelids.
Some surgeons also offer epicanthoplasty surgery, which can enlarge the inner corner of the eye.
Updated December 21, 2023