This surgery, which is one of the most popular surgeries of recent years, is applied to anatomically favorable patients in order to achieve more almond shaped, slanted and uplifted eyes with a more positive canthal tilt.  Almond eye surgery can be applied for lower eyelid laxity, negative canthal tilt, increased canthal laxity, scleral show, reconstructive purposes after unsuccessful eyelid surgery, and to increase the facial gold ratio.  The operation takes an average of 90-120 minutes with local anesthesia and sedation.  Stitches are removed in 7-10 days.