Fox eyes lift has become very popular recently, generating intense interest on social media. The procedure aims at achieving a look which is commonly found in people of Asian origin. It is designed to elevate the outer part of the eyebrows which leads to a more youthful and exotic look.

Fox eyes lift can be surgical or non-surgical.

Fox eyes surgery

The fundamentals of Fox eyes surgery are two well-established surgical procedures that were introduced in plastic surgery several decades ago: (a) the upper blepharoplasty (eye lid surgery) and (b) the brow lift. Those two procedures combined together can sufficiently change the vectors of the eye region by lifting the lateral part of the brows, reducing the size of eyelids and moving the lateral canthus towards the temple area.

Dr Pagkalos performs Fox eyes surgery under local anesthesia and mild sedation and can be combined with lower eyelid surgery if needed, in order to achieve a rejuvenation to the periorbital (around the eye) area as a whole. Results show immediately after surgery, although, swelling and bruising are expected to last for approximately 3 weeks.

Today, Fox eyes surgery receives a high level of patient satisfaction. Patients, however, should be confident about their decision to change the shape of their eyelids and brows since surgical outcomes are generally hard to reverse.

Non-surgical Fox eyes lift

Although non-surgical Fox eyes lift can not reach the degree of lifting produced surgically, it can be a good alternative to fox eye surgery. When it comes to non-surgical Fox eyes lift, the results are not permanent, so in case there is a drop in the popularity of Fox eyes lift in the future, brows and eyelids will gradually return to their previous position.

Since a single type of treatment can not give enough lift to the eyebrows and eyelids, a combination of treatments is the ultimate way to achieve a non-surgical Fox eyes lift:

Botulinum toxin type A (Botox®, Dysport® and Xeomin®) – BTX
BTX is the easiest and safest way to lift the tail of the eyebrow. Although limitations apply, BTX allows plastic surgeons to manipulate the muscles in the periorbital area in order to produce a lifting effect of the eyebrow and lateral canthus.

Threads (PDO, PLLA and PCL)
Dr Pagkalos regularly uses PLLA threads to enhance periocular and brow aesthetics by lifting the tail of the eyebrows and tightening upper eyelids. Since blood vessels network is very dense in the periobrital region, patients should expect bruises that may persist.

Hyaluronic acid (Jucederm®, Restylane®) – HA
When placed correctly, HA can lift eyebrows by adding support to the orbital bones. Dr Pagkalos uses HAs that produce more lifting, than volumizing effects such as Restylane Lyft@ or Juvederm Volift®. HAs give immediate, reproducible results and can play a significant role in non-surgical Fox eyes lift.

Skin tightening devices
All energy emitting devices that aim at skin tightening, such as Fractional Laser, Ulthera® or Thermage® can be used in non-surgical Fox eyes lift. Energy emitting devices should however be used prior to BTX and HA, since the induced rise of skin temperature can reduce BTX efficacy and accelerate HA absorption.

The verdict

Although surgical Fox eyes lift is more effective, has long lasting results and is cheaper in the long run, Dr Pagkalos advises his patients to opt for a non-surgical approach:

“Fox eyes are one of the latest trends, but we are not quite sure how long it will last.

It is better not to permanently change the anatomy of the area and regret it later, if foxy eyes are no longer fashionable…”