Almond Eye Aesthetics (Cat/Fox Eye Lift)

Definition

Almond eye aesthetics, also referred to as a cat eye or fox eye lift, is a cosmetic surgical procedure designed to elongate and elevate the outer corners of the eyes, creating a more almond-shaped, youthful, and dynamic look.

This technique tightens the supporting tissues of the lateral canthus and temporal region, enhancing the natural contour of the eyes. It is commonly performed with endoscopic or minimally invasive methods, allowing long-lasting results while minimizing visible scarring.

By repositioning and stabilizing the outer eye structures, the procedure restores a more aesthetic, refreshed, and captivating expression, which has gained popularity in recent years due to social and cultural trends.

Indications

Almond eye surgery is suitable for individuals who:

Desire a more slanted, almond-shaped eye structure for a youthful and attractive appearance.
Experience sagging or drooping of the outer eye corners due to aging.
Have naturally flat or downward-slanting eyes and seek a lifted contour.
Want to achieve a more impressive and harmonious facial balance.

The ideal candidate is in good general health, a non-smoker, and has realistic expectations regarding results. The procedure may also be performed in patients who have undergone prior periocular plastic surgeries.

Preoperative Considerations

Medical evaluation: Assessment of ocular health, skin laxity, and periorbital anatomy. Any pre-existing conditions (e.g., dry eye syndrome, eyelid malposition) must be disclosed.
Lifestyle modifications: Smoking should be discontinued at least 2 weeks prior to surgery. Blood-thinning medications (such as aspirin) must be stopped under medical guidance.
Surgical planning: The incision site and lifting vector are tailored to each patient’s anatomy to achieve a natural, symmetric result.

Surgical Technique

The procedure is typically performed under local anesthesia with sedation, though general anesthesia may be used if combined with other facial surgeries. Average duration: 1–2 hours.

Steps of the procedure:

Incisions: Small incisions are made at the lateral canthus or within the temporal hairline, concealed in natural folds.
Tissue tightening: The lateral canthal tendon and periocular connective tissues are lifted and fixed in a higher, stable position.
Excision of excess tissue: If excess skin or fat is present, it is carefully removed for smoother contour.
Closure: Incisions are closed with fine sutures; scars are typically minimal or invisible.

A protective dressing may be applied, and most patients are discharged the same day.

Postoperative Course (Recovery)

Swelling and bruising: Common in the first 7–10 days, gradually resolving.
Stitch removal: Usually performed within 5–7 days.
Return to activities: Patients may resume light daily activities within a few days; strenuous activities should be avoided for 2–3 weeks.
Eye protection: Sunglasses are recommended to shield the eyes from sunlight and environmental irritation.

Risks and Complications

Potential risks, though rare with experienced surgeons, include:

Infection
Bleeding or hematoma
Temporary numbness around the eye region
Asymmetry of eye position
Scarring (generally subtle and hidden)

Outcomes

Almond eye aesthetics provides:

Lifted and elongated eye contour with an almond-shaped appearance.
A more youthful, dynamic, and attractive facial expression.
Long-lasting results with minimal visible scarring.

The final result is typically visible after swelling resolves, within 2–3 months, and contributes to improved self-confidence and overall facial harmony.

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