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Why I Will Never Perform the Fox Eye Procedure

And Why You Should Think Twice Before Considering It

In recent years, the aesthetic world has seen a surge in demand for the so-called “fox eye” look, an exaggerated, elongated eye shape with an upward slant towards the temples. Inspired by celebrities, influencers and filtered selfies, this trend has rapidly gone from makeup technique to permanent cosmetic procedure. But while the appeal of lifted, almond-shaped eyes might be deemed as attractive, the surgical method of achieving this look is, in my opinion, unjustifiably risky.

As a plastic, reconstructive and aesthetic surgeon, I feel compelled to speak out about the fox eye procedure – what it involves, why it’s gained popularity, and most importantly, why I would never perform it.

What Is the Fox Eye Procedure?

The fox eye, or cat eye, procedure is designed to create a more lifted and elongated appearance at the outer corners of the eyes. While there are non-surgical methods like thread lifts or clever makeup tricks to simulate this effect, the surgical version involves an invasive approach, which typically includes:

  • Incisions at or near the temples
  • Repositioning of tissue and muscle
  • Skin removal
  • Anchoring of the eye area to the deeper tissue or bone

The aim is to elevate the outer corner of the eye to create a slanted, feline-like shape. In some cases, it may also involve brow lifts or blepharoplasty techniques. While technically achievable, the outcomes are highly variable, often unpredictable, and carry a significant risk of long-term complications.

Why Is The Fox Eye Procedure So Popular?

The rise of the fox eye aesthetic is undeniably linked to the influence of social media. Platforms like Instagram and TikTok have created an environment where beauty trends can go viral overnight. Influencers and celebrities, including the likes of Bella Hadid, Kendall Jenner and other high-fashion models, have become the unofficial faces of the fox eye look.

These individuals often appear with taut, lifted eyes that many assume are the result of surgery, even if they deny it. Combine that with image-enhancing filters and strategic makeup, and it’s easy to see why people believe this look is both achievable and desirable.

Add to that the pressure to look youthful, alert and symmetrical- qualities associated with beauty in today’s digital age – and we have a recipe for a high-demand aesthetic that doesn’t necessarily translate well to the real world or long-term wellbeing.

The Problem With Chasing Trends Through Surgery

The biggest issue I have with the fox eye procedure is that it stems from a trend rather than a timeless aesthetic. Beauty fads come and go- what’s popular today may feel outdated or even regrettable in five years – just like the clothing fashion cycle.

Unlike temporary procedures such as Botox or filler, surgery is irreversible. Once tissue has been removed or repositioned, it cannot simply be undone. That’s particularly dangerous in the periorbital area- the thin, delicate skin and intricate musculature around the eyes that control not only your appearance but also your facial expressions and even eye function.

A poor result doesn’t just mean you look unnatural. It can also mean:

  • Visible, difficult-to-conceal scarring
  • Asymmetry
  • Tightness or pulling around the eyes
  • Restricted eyelid movement
  • Compromised blinking or closure
  • A permanent change in expression

In my experience, patients who regret this type of surgery don’t just dislike the way they look- they suffer with functionality issues and emotional distress that are incredibly difficult to reverse, even with revision surgery.

Why I Will Never Perform the Fox Eye Procedure

I’ve dedicated my career to advancing techniques in regenerative aesthetics- to help people age beautifully and naturally, using methods that respect the anatomy and individuality of the face. The fox eye procedure runs completely counter to that philosophy:

  1. It’s anatomically aggressive. The procedure disturbs key ligaments and tissues around the eye. Altering these structures can lead to unnatural expressions and even interfere with essential functions like blinking or eye closure.
  2. It’s irreversible. Once tissue is cut or removed, it cannot be replaced. If a patient dislikes the result- and many eventually do. We cannot simply reverse it.
  3. It’s based on trends, not clinical necessity. Surgery should be performed when it supports health, function or meaningful improvement in quality of life, not to imitate a fleeting fashion trend.
  4. It rarely suits the natural harmony of a patient’s face. Attempting to copy someone else’s eye shape, especially one influenced by photo editing and makeup, almost always results in something that doesn’t align with the patient’s unique features.
  5. The risks far outweigh the rewards. When a procedure has a high likelihood of complications, permanent changes and patient regret, I consider it medically and ethically inappropriate.

My Advice to Anyone Considering the Fox Eye Look

If you’re tempted by the fox eye trend, I urge you to ask yourself this: What is driving my desire for this look? Is it social media? Celebrity influence? Pressure to conform? Will I be happy with this look in 5-10 years time?

You may be surprised to learn that non-surgical options can often provide the aesthetic lift you’re after, without the permanence or risk. For some patients, a subtle brow lift or temporal lift may help restore a refreshed look. For others, expertly placed fillers or skin-tightening treatments can create a soft lift without altering anatomy.

More importantly, I always work with patients to define what beauty means to them, not what’s trending. My focus is on timeless enhancement, not transformation. I believe that the best results are the ones that preserve your expression, individuality and age with grace.

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