The eyelid crease is thin and long, and the outer corner becomes progressively longer.

The formerly pointed outer corner was opened more broadly and secured with an incisional technique, extending both the horizontal and vertical dimensions of the eye.

The lacrimal lake is appropriately exposed, while the medial and lateral corners remain short.

Because the eyes were already large and well proportioned, a natural lateral canthoplasty was used only to broaden the outer-corner space.

Although the eyes were not small, the patient wanted a longer, brighter-looking eye shape.

Lateral canthoplasty maximized the available outer-corner space and clearly increased the horizontal length of the eye.

A double-eyelid crease is present but concealed by the upper eyelid, creating a closed appearance.

Ptosis correction revealed the concealed crease while lateral canthoplasty maximized the outer-corner opening for a brighter eye shape.

Twelve years after lateral canthoplasty, re-adhesion had created a partial right-angle shape and a constricted appearance.

Revision surgery reshaped the outer corner into a pointed angle and anchored it to the periosteum to minimize recurrent adhesion.

The patient wanted both horizontal and vertical enlargement while preserving a natural overall result.

With adequate lacrimal-lake exposure, lateral canthoplasty alone enlarged the outer corner; natural-adhesion double-eyelid surgery then clarified the crease.

Nine years after lateral canthoplasty, the opening effect had diminished and the outer corner had become square-shaped.

Revision lateral canthoplasty corrected the square-shaped corner into a sharper angle and maximized the outer-corner opening.

Although the eyes were not small, the patient wanted larger eyes with an out-fold double-eyelid crease.

Medial epicanthoplasty improved the hooked inner corner, while lateral canthoplasty extended the outer corner for a longer, more open eye shape.

Seven months after prior lateral canthoplasty, the patient wanted a greater opening. The degree of extension was tailored to the desired balance between natural appearance and a more pronounced result.

As this was not a primary lateral canthoplasty, the available space was limited; however, the opening was maximized within safe anatomical limits and is evident in frontal and side views.

This patient had constricted eyes with limited horizontal and vertical dimensions and hollow upper eyelids.

Incisional ptosis correction removed redundant skin and improved upper-lid hollowing without additional fat grafting. Medial and lateral canthoplasty were combined to maximize horizontal enlargement.

Although the eyes were round and large, the patient wanted a more open and enlarged outer-corner appearance.

Lateral canthoplasty was performed to the maximum safe extent, creating a noticeably longer eye shape.

The eyes were long horizontally but short vertically. The patient wanted to improve a tired, harsh-looking eye appearance.

Ptosis correction improved eyelid opening. Lateral and lower canthoplasty widened the outer corners and shifted their appearance downward, softening the previously sharp eye shape.