Canthal Tilt: The Complete Guide

Your eyes are undoubtedly a significant aspect of your facial appearance. Some might even say that the eyes can help you determine someone’s personality or traits. Looking into someone’s eyes while chatting can help you tell whether the person’s honest or not.

All that aside, you may notice that different eyes sets reveal different attitudes or emotions. These may be sad, confident, attractive, prominent, anxious, old, youthful, or bold.

What affects all the above is what’s referred to as a canthal tilt.

Canthal tilts can be one of the hardest things for people to notice on themselves. But canthal tilts can make a huge impact on your appearance. So, it’s important to know if you have one and what type it is!

Today, you’ll get to know what a canthal tilt is. I’ll highlight the different types of canthal tilts and the ways you can stop your eyelid skin from drooping.

Let’s get right into it…!

What is canthal tilt?

Simply put, you can define a canthal tilt as the overall angle of your eyelids. It is the angle at which one’s eyelids meet. This angle gets measured between your eyes’ inner and outer corners.

Now, eye angles differ a lot among different individuals. As a result, some people become either happy or bothered by their eye’s appearance. Most of the time, the concern creeps in when an individual feels they have droopy eyes.

In fact, eye asymmetry is one of the major conditions that affect most people. A study done by Ersin Akşam and Berrak Karatan (MD) in Turkey proved this.

The study showed that 47 (26%) out of the 176 patients involved had asymmetry problems. Second, to follow were allergies and chemosis from 19 patients and 6 showing scleral issues.

One of the lesser occurring problems was corneal abrasion recorded from 2 patients. The least occurring was permanent discoloration of the skin showing in only 1 patient.

A canthal tilt is most often measured in degrees from the horizontal line of your eyelids.

Most people fall under 5 – 8 degrees from the medial canthus. This angle of elevation is widely thought to give you a brighter, feminine, and youthful look. The medial canthus is the inner corner of your eye. The lateral canthus is the one located at the outer corners of your eyes.

The type of canthal tilt you have will depend on various factors. Some of them include genetics and environmental exposure i.e., smoking.

Types of canthal tilts

There are 3 main types of canthal tilts. They are positive, negative, or neutral.

Look at what each of them entails below:

1. Positive canthal tilt

A positive canthal tilt is when the upper eyelid ends on a higher plane than does the lower. This type of canthal tilt may be hereditary, congenital, or acquired. It usually causes an eye to appear larger and with a subtle bulge.

As a result, you may end up looking more attractive, youthful, and more feminine.

2. Negative canthal tilt

A negative canthal tilt is when the lower eyelid ends on a higher plane than does the upper. It is in some ways similar to brow ptosis. In most cases, it arises when you have excess skin in your upper or lower eyelids.

This type of canthal tilt may be hereditary, congenital, or acquired. A negative canthal tilt usually causes an eye to appear smaller and less bulgy. It may cause your eyes to look more droopy or always sad in some cases.

As both men and women age, there is a high chance that they may develop a negative canthal tilt.

3. Neutral canthal tilt

Neutral canthal tilt is when the upper and lower eyelids end at the same level. This means that there isn’t any form of elevation between the medial and lateral canthus. As a result, your eyes will have a much flatter than angled look.

Neutral canthal tilts are more present in males and older people. When it occurs in women, it’s seen as a problem as it expresses more sadness.

How a canthal tilt can affect your look

A canthal tilt can affect the shape of your face profoundly. It also has an impact on how others see you.

The position of your eyebrows (or eye area) influences the look of your forehead. Aside from that, it may also determine the appearance of the place just above your brows.

Most of the time, you may need canthopexy surgery to correct this problem. More so, if it causes eyestrain or other symptoms such as headaches or droopy eyelids.

For someone to have their natural appearance back after canthal tilt correction, they might also need hair transplants. Important to consider too is fat grafting procedures that help your face achieve natural proportions.

Other processes include lip augmentation with filler injections and even cheek implants. All this depends on the results desired by you or your surgeon’s recommendation.

Many people will have a canthal tilt that is outside the normal range, and they may not even know it. The muscles around your eyes are most responsible for this angling.

You could also have an underlying medical condition. If you suspect that you might have one, talk with your doctor about what to do next.

Different ways to correct canthal tilts

There’s no single way to correct canthal tilts completely. Although, there are a couple of options available that can help you correct your canthal tilt. You can choose based on what would work best according to your needs.

It may depend on whether you’re looking for something quick and easy like corrective eyeglasses. Or, if you want more permanent solutions which require surgical procedures from a qualified doctor.

You may also decide to go for these options if you just want to enhance your tilt.

The most common and effective procedures include:

1. Blepharoplasty

One option is to use a surgical procedure called Blepharoplasty (or eyelid surgery). This entails the removal of excess skin and fat tissue from under your eyes. It can be either done as an outpatient or inpatient, depending on what you choose. It is also usually performed with local anesthesia.

Recovery time varies by patient. Some people may get back to work after one week while others take two weeks or more.

The cost ranges from $1500-$4000 for this procedure alone when not bundled into other surgeries such as facelifts.

Another downside: there is no guarantee that the canthal tilts will improve. This is especially when the cause is muscle imbalances rather than excessive skin/fat under the eye area.

2. Canthopexy surgery

Canthopexy involves a surgical procedure that moves the eye socket and eyelid muscles into position with each other. It would involve a recovery time of about three weeks at most.

However, it’s more expensive than Blepharoplasty. The average range approximately costs around $4000-$12000. It may go higher depending on how many procedures you take bundled together.

The upside? It can correct not just the tilt but any drooping issues as well (e.g., ptosis).

The downside? There are risks involved in general anesthesia. So, make sure you have ample opportunity to discuss them before going ahead with the surgery.

3. Browlift

A brow lift procedure is a surgical operation that lifts the eyebrows and eyelids to remove wrinkles. A forehead lift can be also included in this treatment. It reduces deep creases between the eyes as well as drooping skin on the upper eyelid. [1]

A brow lift will make you look more youthful by removing any signs of aging from your face. The surgery can also help correct or enhance your canthal tilt according to your desires.

There are two methods in this type of surgery:

  1. endoscopic
  2. open procedure

The most advanced method for lifting your brows is an endoscopic technique called Thermage® Therapy™. It uses radiofrequency heat energy to tighten collagen without damaging underlying tissue.

While both therapies create similar results, I recommend using heat because it’s less invasive. In addition, the therapy provides a longer-lasting result because the heated collagen can’t get reabsorbed by your body.

The healing process is also faster since it has minimal post-operative discomfort and swelling. The surgery takes between one and two hours long. It all depends on the severity of your tilt or drooping eyelids.

4. Canthoplasty

A canthoplasty may help if you want your lower eyelids, or folds of skin below your eyes, to appear more lifted and less droopy. This will help you get a more youthful appearance if you have a negative tilt.

The surgery is most commonly done on patients between 40-60 years old.

You can carry out canthoplasty on either one or both of your eyes. The procedure is usually performed in a doctor’s office and takes about 30-60 minutes. It may take longer depending on the amount of work needed and desired results.

The surgeon will make small incisions to remove excess skin from your lower eyelid area. Then they’ll place stitches that keep this area tight while new tissue grows back over time.

In some cases, after an eyelift, there are visible scars around your eyes. The good news is that they soften and fade and become less noticeable with time.

Pressure in the eye that comes from fat deposits is often relieved following this procedure. You will be less tired after the procedure.

5. Corrective eyeglasses

You may opt for corrective eyeglasses if you don’t want any surgical procedures. You may go for this option if your concern is only reading. Though, know that they are not as effective or efficient in correcting canthal tilts.

These corrective eyeglasses won’t be completely able to correct your problem. They will only assist you by providing you with a more balanced viewing experience.

There are 4 different types, namely:

Compensating lenses

These would provide adjustable magnification. It’s especially for people who often find themselves reading text that’s difficult to see when it’s too close up. This type of lens helps alleviate strain on both eyes.

It prevents you from having to constantly read small letters and words at such high magnification levels. It also doesn’t require any changes to an individual’s visual prescription.


They’re designed for an individual who needs to see both closeup and far away. They come in two separate types. One is partial bifocal lenses which are highly recommended for people with astigmatism. The other is full bifocal lenses which would be more suited to those without any issues regarding their vision clarity.


These have a ‘no line’ appearance, ensuring that you get the best field of view possible. They also help you read the small text at high levels of magnification if desired.

This type requires a person’s visual prescription before getting worn effectively. It takes some time getting used to when first wearing them but they will provide relief after just one day of wear on your eyes.


These are a simple and affordable fix for any person who finds themselves struggling with their canthal tilt on sunny days. They also come in different styles, such as wraparound sunglasses or polarized lenses that reduce the glare of sunlight while still protecting your eyes from harmful UV rays.

How to prevent your eyes canthi from drooping

First, you should know the reason your eyes canthi may droop.

The most common cause of this condition is the lack of collagen in the connective tissue. This makes it hard to maintain a youthful appearance. It only gets worse when you pair this with changes such as less skin elasticity and more fat under the eye.

Other causes for sagging canthus are aging or hereditary factors. You can control both of these naturally by improving your diet and lifestyle habits.

A few simple steps that will help prevent your eyes canthi from drooping include:

  1. Ensure that you moisturize your facial skin daily to keep the tissue tight and vibrant.
  2. Get enough sleep at night without any disturbances
  3. Eat foods rich in vitamin A like carrots and cantaloupe which promote healthy cell growth
  4. Avoid smoking cigarettes or drinking excessive alcohol. They can cause inflammation that speeds up skin sagging and drooping.
  5. Be aware of your stress levels and work to manage them when the need arises.

A few other things you could try would be eye exercises like:

  1. Stretching or massaging muscles around the eyes with your fingers
  2. Applying cold packs on puffy bags under the eyes for about fifteen minutes at a time.
  3. Use glycerin-based creams. They promote collagen production in skin cells by adding moisture back into them.

If you have a drooping canthus know that this isn’t the end of the world! If none of those work, then you can consider the surgical options that I’ve discussed in the article.


So, what do you think? Are canthal tilts something worth paying attention to or are they just a fad that will go away in time?

The short answer is yes. There’s a lot more going on with your eyes than you might have realized and it may affect how people perceive you. It also has the potential to impact your vision as well.

If you want some help correcting any issues, check in with an eye specialist. They’re better-placed to diagnose and offer the best remedy for your type of tilt.

I hope that you enjoyed this article! If it has helped you in any way, please share it with your friends and family. You can also ping me in the Comments Section below and share your experience!

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