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Almond Eye Surgery

Enhance the natural contour of your eyes with almond eye surgery, which can help correct lower eyelid retraction, scleral show, and downward-tilted outer corners. If you want to achieve a more lifted, youthful eye shape, Dr. Ramesh, an expert oculofacial plastic surgeon, can help you look more refreshed, alert, and confident with naturally balanced results.

What is almond eye surgery?

The “almond eye” refers to an eye shape that is gently tapered, with the outer corner (lateral canthus) slightly higher than the inner corner and the lower eyelid resting just at the lower border of the iris. This shape creates a naturally lifted, elongated appearance without visible sclera (white) beneath the iris. It’s widely regarded as youthful, attractive, and balanced.

Almond eye surgery is a cosmetic procedure that creates or restores this ideal eye shape. It typically involves lateral canthoplasty to reposition the outer corner of the eye, and lower eyelid retraction surgery to elevate drooping lower lids. Together, these techniques refine the eye contour and can correct issues like scleral show, negative canthal tilt, or tired-looking eyes.

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What are the benefits of almond eye surgery?

The following are the primary benefits of almond eye surgery:

Lifts and repositions the outer corners of the eyes
Elevates drooping or retracted lower eyelids
Reduces or eliminates visible sclera beneath the iris
Creates a more youthful, elongated eye shape
Enhances symmetry and overall eye harmony
Corrects negative canthal tilt for a more alert appearance

Cosmetic orbital decompression.

How is almond eye surgery performed?

Almond eye surgery is a highly customized procedure to reshape the eye contour, correct structural concerns, and achieve a more lifted, elongated appearance. Dr. Ramesh carefully evaluates your anatomy to determine which combination of techniques will best address your concerns, whether that includes drooping lower eyelids, visible sclera, or a downward slant at the outer corners.

before and after cosmetic orbital decompression surgery in nj

Lateral canthoplasty

Dr. Ramesh begins by performing lateral canthoplasty, a delicate procedure that repositions and reinforces the outer corner of your eye (lateral canthus). By tightening and slightly elevating this area, he adjusts the canthal tilt to create a more upturned shape. This helps correct rounded or downward-sloping eyes, enhancing their definition while preserving natural expression.

Lower eyelid retraction

If your lower eyelids are too low or show excessive white beneath the iris (scleral show), Dr. Ramesh may perform lower eyelid retraction surgery. This involves elevating the eyelid and supporting it from within, often using a transconjunctival (scarless) approach. In some cases, internal spacer grafts may be placed to restore proper eyelid position and tension.

Midface lift

When there is vertical tension pulling down the lower eyelids, especially in patients with hollowing or volume loss in the cheeks, Dr. Ramesh may recommend a midface lift. This technique lifts the cheek tissue to support the lower eyelid from below, improving structural stability and helping maintain long-term almond eye shape without recurrence of retraction.

Cheek implants

Dr. Ramesh may also recommend cheek implants to enhance midface volume and support the lower eyelids. When the midface is flat or under-projected, this lack of support can lead to lower eyelid descent or scleral show. Cheek implants can either be “off-the-shelf” or fully custom, based on CT-guided planning. Patients can discuss their options with Dr. Ramesh for this critical portion of the surgery. Cheek implants are then strategically placed over the cheekbones to elevate the midface, provide natural lift to the lower eyelids, and reinforce the almond eye contour.

Dr. Ramesh Speaks About TED Solutions
at the Vision Health Advocacy Coalition

Before & After

Before and after cosmetic orbital decompression with cheek implants and canthoplasty.

Why choose Dr. Deepak Ramesh?

Dr. Deepak Ramesh is a board‑certified oculofacial plastic surgeon with fellowship training from UCLA’s prestigious Jules Stein Eye Institute and advanced eyelid surgery education in South Korea. As a member of ASOPRS, AACS, AAO, and Alpha Omega Alpha, he has performed thousands of eyelid procedures, including upper blepharoplasty, orbital decompression, and lower eyelid retraction surgeries specifically tailored to create a refined eye shape.

With extensive experience in almond eye surgery, Dr. Ramesh combines minimally invasive lateral canthoplasty and scarless transconjunctival techniques to elevate the lower eyelids and correct negative canthal tilt or scleral show. His approach emphasizes preserving eyelid function and achieving long‑lasting, harmonious results that enhance your features with subtlety.

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