Mickey Rourke’s Blepharoplasty

In my series on evaluating celebrity plastic surgery, obviously I cannot resist talking about Mickey Rourke’s facial devastation.  I think looking at his overpulled brows, overhollowed eyes, smeared facelift, jacked up lips, that there is a laundry list of problems that we could hold as the culprit.  However, what I like to do is to find the singleworst feature that truly creates the most distortion to his face.  In my estimation it is the change to his eye shape that has rendered him not quite human in appearance.  That will be the focus of this blog article.

Mickey Rourke’s Blepharoplasty

The joining of the upper and lower eyelids is known as the canthus.  The inner part toward the nose is known as the inner, or medial, canthus; and the outer side toward the ear is known as the lateral canthus.  When tucking up the lower eyelid in a traditional skin-type of blepharoplasty (eyelid surgery), the canthus can be distorted.  The sharp V-shape of the lateral canthus can be blunted, shifted upwards (or downwards) and foreshortened.  Mickey has suffered all three insults to his canthus making him look cat eyed and inhuman.  This is why I almost never incise the lower-eyelid skin.  The risk is simply too great.  Many surgeons argue that they never get a droopy dog look where the canthus falls away from the eyeball because they tuck it gently upward during the procedure.  My feeling is that this move creates the opposite effect that is apparent in Mickey’s face, a fake Asian, cat eye look that is unsettling.  I believe that when you alter the canthus, you alter the face; and the risk is simply too high when you make an incision in the lower eyelid.

Samuel M. Lam, MD, FACS is a board certified Dallas plastic surgeon. To learn more about Dr Lam’s facial plastic surgery procedures please visit our website www.LamFacialPlastics.com or call (972) 312-8188 to schedule a consultation.