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Eyelid surgery

Cooling the front of the face, it softens a stuffy impression.

Epicanthoplasty is a surgical procedure that releases the epicanthal fold covering the inner corner of the eye, thereby lengthening the horizontal width of the eye. It softens and refines the impression of eyes that appear too far apart or a crowded appearance between the brows. By naturally exposing the caruncle (the pink area on the inner corner of the eye) that was previously hidden, it creates a more open-looking eye shape. The results may vary depending on the patient's eye shape and skin condition.

Before & After

    This is especially suitable for people like these.

    • People who have epicanthal folds that cover the inner corner of their eyes, making them look closed off.
    • For those who have eyes that appear far apart or a wide bridge of the nose
    • Individuals whose double eyelid crease does not clearly extend to the front
    • For those who want to tidy up their eye shape, which appears short and stuffy
    • Those who want to refine the front length along with double eyelid surgery
    • Those who want to naturally expose their caruncle

    This is how it progresses, and this is how it's different.

    The Enter Plastic Surgery Clinic designs a natural epicanthoplasty (double eyelid surgery) line that suits the patient by considering both the balance of the eyes and the burden of scarring.

    Point 01

    Procedure Steps — 4 Steps

    1. Step 1 — Illustration of the epicanthal fold covering the front of the eye

      Step 01

      Epicanthal fold
      The front of my eyes feels stuffy.

    2. Step 2 — Illustration of designing a Z-shaped incision on the epicanthal fold

      Step 02

      Z-incision
      Line design

    3. Step 3 - Illustration of loosening the epicanthal fold with Z-plasty and exposing the caruncle

      Step 03

      Unwrinkle eye folds
      Skin redistribution

    4. Step 4 - Illustration of Caruncle naturally revealed and eyes cooled

      Step 04

      Cool eyes
      Natural caruncle

    Information

    Basic Procedure Information

    Surgery time
    About 30 minutes to 1 hour
    Anesthesia information
    Local anesthesia (or twilight sedation)
    Outpatient treatment
    1st time (stitch removal)
    Suture removal
    About 5 to 7 days later
    Recovery period
    Bruising: 3-7 days. Line settling: approximately 2-3 months.

    Point 02

    Four details of Enter's interior

    • Point 01

      Eye shape balance 1:1 design

      We analyze the distance between the eyes, the width of the nose bridge, and the flow of the double eyelid crease to design the optimal degree of exposure that suits the patient.

      Balance Analysis · Exposure Design
    • Point 02

      Natural line scar concealment

      A Z-plasty technique disperses the incision lines to avoid a linear scar in one direction, resulting in a scar that naturally fades over time.

      Z-Plasty · Scar Dispersion
    • Point 03

      Prevent excessive exposure

      We simulate the amount of exposure in advance to ensure the caruncle is not overly exposed and does not create an burdensome impression, and we decide on the appropriate amount with the patient.

      Exposure simulation
    • Point 04

      Combined procedure option

      If necessary, we pursue balanced results for the entire eye by performing double eyelid surgery (non-incisional/incisional), lateral canthoplasty, and ptosis correction together.

      Concurrent Procedures · Comprehensive Design

    Frequently Asked Questions

    Here are some frequently asked questions about double eyelid surgery. Please feel free to ask any additional questions during your consultation.

    • How long does the surgery take?

      It takes about 30 minutes to 1 hour. The time may vary depending on whether parallel procedures are performed.

    • How is anesthesia administered?

      It is performed under local anesthesia by default, and sedation can be administered concurrently depending on the patient's preference and condition.

    • Will double eyelid surgery make me look scary?

      If the caruncle is excessively exposed, it can give an aggressive appearance, so the amount of exposure is designed and simulated in advance before making a decision. We consider the distance between the eyes and the balance with the double eyelid line to achieve a natural look.

    • Are the scars from a canthoplasty very noticeable?

      The Z-plasty method disperses the incision to avoid a single linear scar. The scar will naturally fade over time, but the healing process may vary depending on the patient's skin condition.

    • Can I get results from just having an epicanthoplasty?

      If the epicanthal folds are prominent, epicanthoplasty alone can help improve the horizontal length and reduce a closed-off appearance. However, balance with the double eyelid line is important, so we will advise on whether to perform double eyelid surgery concurrently depending on your condition.

    • What is the recovery period?

      Bruising and swelling subside within 3 to 7 days, and it takes about 2 to 3 months for the natural eye shape to settle in. Individual differences may occur.

    • When are the stitches removed?

      External sutures are typically removed approximately 5 to 7 days after surgery. The timing of removal will be adjusted by the medical staff based on the patient's recovery status.

    • Can the results of an epicanthoplasty be reversed?

      The Mongolian fold may tend to re-gather or recur in some cases during the recovery process, so we proceed by reducing this through the incision line and suture design. Recovery patterns may vary from person to person.

    • Can it be done with other procedures?

      Depending on the condition, double eyelid surgery (non-incisional/incisional), lateral canthoplasty, medial canthoplasty, and epicanthoplasty may also be performed. Whether these procedures are applicable will be determined through a consultation.

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