A high lateral tilt yields a hostile appearance. A more shallow tilt gives a gentler and softer look to the patient. No tilt, or a horizontal lateral aspect, does not appear feminine and often indicates a masculinity. When the outer corner is lower in elevation than the inner corner even by the slightest margin, the person often appears weary, dull, and obtuse. This can give off impressions of laziness or weariness. All of these conditions can be improved with lateral canthoplasty.
Furthermore, lateral canthoplasty can balance the proportion of the iris to the whites of the eyes. An aesthetically pleasing eye has a good balance between the whites of the eyes and the pigmented iris. When the whites of the outer eye show less than the whites of the inner eye, the person may appear closed and uninviting. Lateral canthoplasty corrects this unbalanced appearance.