Epicanthal Fold Assessment
We assess not only the distance between the eyes, but also skin thickness and the direction of the inner corners.
EYE CONTOURINGCanthoplasty Procedures
MEDIAL EPICANTHOPLASTY
Medial Epicanthoplasty Natural inner-corner refinement tailored to your anatomy
Medial epicanthoplasty reshapes the epicanthal fold that covers the inner corner of the eye, helping the eyes appear more open, balanced, and refined.
Treatment Area
Inner corners
Suture Removal
Approximately 7 days
Recovery
Swelling & bruising: 1–2 weeks
Medial Epicanthoplasty Before & After
A conservative correction planned around the epicanthal fold and inner-corner anatomy, without excessive exposure.
ABOUT THE PROCEDURE
What Is Medial Epicanthoplasty?
The skin fold covering the inner corner of the eye is called the epicanthal fold. When it is prominent, the eyes may appear farther apart and the inner corners can look rounded or closed off.
Degree of Exposure
The degree of correction is planned to suit the existing anatomy while avoiding excessive exposure of the lacrimal caruncle.
Incision & Scar Placement
The incision is designed with skin tension and fold direction in mind so that the scar can settle as naturally as possible.
Overall Eye Balance
The double eyelid crease, outer corner direction, and side-to-side differences are considered to create overall balance.
SURGICAL PROCESS
Medial Epicanthoplasty Procedure
After evaluating the skin fold and underlying anatomy of the inner corner, only the necessary amount is adjusted and closed with fine sutures.
STEP 01
Preoperative Assessment
The direction of the epicanthal fold, inner-corner exposure, and distance between the eyes are assessed.
STEP 02
Epicanthal Fold Repositioning
A limited incision is made, and the skin and soft tissue are repositioned in a natural direction.
STEP 03
Fine Suturing
The incision is closed with fine sutures, which are typically removed after approximately 7 days.
STEP 04
Expected Change
This helps open the inner corners and creates a smoother, more balanced eye shape.
INDICATIONS
Who May Benefit
Suitability is determined by the shape of the inner corners, available skin, and existing exposure of the lacrimal caruncle.
01
A prominent epicanthal fold covering the inner corners
02
Eyes that appear farther apart than they are
03
Rounded or closed-looking inner corners
04
A double eyelid crease that does not connect smoothly at the inner corner
Why Conservative Correction Matters
Overcorrection may expose too much of the lacrimal caruncle or make the inner corners appear unnaturally sharp. The goal should be an anatomically appropriate correction rather than simply reducing the distance between the eyes.
SURGICAL CONSIDERATIONS
Key Surgical Considerations
Inner-Corner Direction
The direction of correction—horizontal, vertical, or a combination—is determined by the existing shape of the epicanthal fold.
Lacrimal Caruncle Exposure
The surgical range is adjusted to avoid excessive exposure of the reddish lacrimal caruncle.
Asymmetry
Because the epicanthal fold and inner-corner shape may differ between the two eyes, each side is designed individually.
Previous Surgery
If there is scarring or adhesion from previous medial epicanthoplasty, a different surgical approach may be required.
BEFORE & AFTER
Medial Epicanthoplasty Before & After
Each case was planned according to the epicanthal fold and the overall balance of the eyes.
CASE 01
The epicanthal fold was adjusted to reveal the inner corners more naturally.
CASE 02
The inner corner was refined to create a smoother transition into the double eyelid crease.
CASE 03
The inner corners were opened conservatively to create a softer, more balanced eye shape.
CASE 04
The amount of inner-corner exposure was adjusted according to the direction of the epicanthal fold.
CASE 05
The correction was planned with both the inter-eye proportion and double eyelid crease in mind.
CASE 06
The inner corners were refined without excessive exposure.
RECOVERY
Recovery Timeline
Swelling and bruising vary by patient and may be more noticeable on days 2–3 than immediately after surgery.
Day of Surgery
Sutures remain at the incision site, and swelling or redness may be present.
Days 2–3
Swelling and bruising are often most noticeable during this period.
Around Day 7
Sutures are removed after a follow-up assessment.
Weeks 1–2
Most visible swelling and bruising gradually improve, making daily activities more comfortable.
Months 1–3
Redness and firmness around the incision gradually soften and fade.
Suture-removal timing and recovery may vary depending on the extent of surgery and individual skin condition. Avoid rubbing or irritating the surgical area.
FAQ
Medial Epicanthoplasty FAQ
Will medial epicanthoplasty make my eyes look too close together?
Medial epicanthoplasty is not simply intended to reduce the distance between the eyes. The amount of correction is planned according to the epicanthal fold and the degree of lacrimal caruncle exposure, with the goal of creating a natural-looking inner corner.
Will the scar completely disappear?
Because the procedure involves an incision, a scar cannot be completely avoided. The area may initially appear red or feel firm, but it generally softens and fades gradually over time.
Can it be combined with double eyelid surgery?
Yes. It is often performed together with double eyelid surgery to improve the connection of the crease at the inner corner and achieve better overall balance.
Is revision medial epicanthoplasty possible?
Depending on the existing scar, available skin, and degree of lacrimal caruncle exposure, further medial epicanthoplasty or epicanthoplasty restoration may be considered.
DUAL CANTHOPLASTY
Dual Canthoplasty Lower · Lateral Canthoplasty
Dual canthoplasty combines lateral and lower canthoplasty to increase the horizontal dimension of the outer eye and adjust the downward direction of the outer lower eyelid. The surgical plan is customized according to each patient’s anatomy and desired degree of change.
BEFORE
AFTER
DUAL CANTHOPLASTY OVERVIEW
What We Evaluate
The available space beyond the outer corner, degree of eye prominence, lower-eyelid tension, and existing eye shape are evaluated to determine a safe and achievable surgical plan.
Horizontal Length
We evaluate the available outer-corner space and lateral canthal anatomy.
Outer-Corner Direction
We assess the height of the outer corner together with the position of the lower eyelid.
Degree of Correction
We tailor the plan toward either a subtle or more defined change.
SURGICAL METHOD
Dual Canthoplasty Procedure
Lateral canthoplasty creates additional space at the outer corner, while lower canthoplasty adjusts the direction of the outer lower eyelid. The fixation point and degree of correction vary according to individual anatomy.
Before Surgery
Lateral Canthoplasty Design
Lower Canthoplasty Fixation
Subtle Correction
More Defined Correction
A subtle or more defined result is not determined by fixation strength alone. The achievable range depends on the position of the eye and orbital bone, available outer-corner tissue, and lower-eyelid tension.
DESIGN DIRECTION
Customized Design Options
Natural Dual Canthoplasty
Designed to relieve a closed-off outer corner and soften a mildly upturned appearance without dramatically changing the patient’s natural eye shape.
Defined Dual Canthoplasty
Designed to create a more noticeable increase in horizontal length and downward adjustment, within anatomically safe limits.
DUAL CANTHOPLASTY CASES
Dual Canthoplasty Before & After
The surgical range is customized for each case based on outer-corner direction, available lateral space, and overall eye balance.
BEFORE
AFTER
CASE 01
Natural Outer-Corner Widening
The outer-corner space and downward direction were adjusted together.
BEFORE
AFTER
CASE 02
Softening an Upturned Outer Corner
The outer-corner height and lateral lower eyelid were addressed together.
BEFORE
AFTER
CASE 03
Opening a Closed-Off Outer Corner
The horizontal eye length and lower-lateral space were adjusted.
BEFORE
AFTER
CASE 04
Outer-Corner Adjustment
The degree of dual canthoplasty was tailored to complement the existing eye shape.
BEFORE
AFTER
CASE 05
Softer Eye Contour
The outer length and corner direction were refined naturally.
BEFORE
AFTER
CASE 06
Horizontal & Downward Outer-Corner Refinement
The lateral and lower canthoplasty directions were adjusted together.
BEFORE
AFTER
CASE 07
Improved Outer-Eye Balance
Surgery was planned to balance the outer corner and lower eyelid.
BEFORE SURGERY
Important Considerations Before Surgery
The degree of improvement depends on the actual space at the outer corner and tissue elasticity. Desired results must be considered together with the anatomically achievable range.
Achievable Range
If there is limited space between the eyeball and the outer orbital rim, the amount of achievable widening may be limited.
Possibility of Re-adhesion
Some tissue may re-adhere during healing, causing the initial degree of opening to decrease.
Risks of Overcorrection
Excessive downward fixation may cause conjunctival exposure or eyelid pulling, so maintaining an appropriate degree of correction is important.
Results and recovery may vary depending on individual eye anatomy, tissue condition, and healing response.