Epicanthoplasty Reconstruction involves thin, tension-bearing skin at the inner corner of the eye, and if post-operative care is not thorough,
deformation may occur. The patient's direct participation in aftercare is essential.

1. ①   To prevent inner corner separation, shape distortion, and scarring, Steri-Strips (scar tape) may need to be applied from after stitch removal
   for approximately 2-3 months, depending on the degree of reconstruction.
2. ②   In the early post-operative period, firm, raised hypertrophic scarring may develop as the surgical area heals.
   This scarring gradually improves after 2-3 months. Hypertrophic scar treatment is performed via injection therapy, available from approximately week 3. (In the case of canthoplasty reconstruction surgery, since it involves re-operating on existing scar tissue, swelling may be more severe
   and recovery may be relatively slower.)
3. ③   For areas with pain or itching, apply cold compresses. (This helps reduce swelling and skin itchiness.)
4. ④   On the first and second days after surgery, it is recommended to limit sleep to approximately 3-4 hours. Please avoid napping.
   Keep your upper body elevated while sleeping to help reduce swelling more quickly.
   Also, please avoid sleeping on your side and sleep face-up.
5. ⑤   For approximately 2-3 weeks in the early post-operative period, please avoid bending your head down as much as possible.
   Avoid prolonged phone use or TV watching with your head tilted up or down.
6. ⑥   In the early post-operative period, please avoid any actions that put pressure on the eye surgical area.
   It is best to minimize even talking in the early period. (e.g., sneezing, coughing, crying, laughing, loud voices, etc.)
7. ⑦   The surgical area is sensitive to UV exposure, so apply sunscreen when going out after surgery.
   It takes approximately 6 months to 1 year for the surgical scar to stabilize, so careful management during the recovery period is essential.

✓ Medial Epicanthoplasty, Upper Epicanthoplasty (45-degree Canthoplasty) Hypertrophic Scar Care Guide

What is hypertrophic scarring?

Hypertrophic scarring refers to the firm, raised tissue that forms during the wound healing process after surgical procedures.
Causes include excessive proliferation of surrounding tissue, adhesion of existing tissue, and the effects of sebaceous activity, among others.
Note that hypertrophic scarring is a natural occurrence that can happen not only after plastic surgery but also after general surgical procedures.
It can be understood as part of the process where damaged cells return to their normal condition.

When Hypertrophic Scarring Occurs

Hypertrophic scarring may begin to develop as early as 5-10 days after the surgery date.
Note that in the early post-operative period, swelling and redness may accompany the scarring, making it appear more prominent.

1. Hypertrophic Scar Care Guide
2. ①   In the early post-operative period, apply a small amount of eye ointment to prevent the scar area from drying out.
   Eye ointment helps protect damaged tissue from bacterial penetration.
3. ②   Hypertrophic scars are affected by UV exposure, so please apply sunscreen when going out.
   However, be careful not to get sunscreen in your eyes.
4. ③   Apply scar ointment starting 3 weeks after the surgery date.
   Recommended ointments include Contractubex gel, Noscarna, and Dermatix Ultra.

Double eyelid crease lowering (Double Line Technique) has varying recovery periods depending on the preservation of the soft tissue (muscle) above the crease.
In cases of depressed scarring from excessive soft tissue (muscle) removal, the patient's direct participation in aftercare is essential.

1. ①   For crease lowering (Double Line Technique), taping is mandatory to prevent re-adhesion of the existing crease.
2. ②   Compresses may cause the muscles in the surgical area to contract, so please avoid both cold and warm compresses.
   (Maintaining the tape on the double eyelid crease is the top priority.)
3. ③   On the first and second days after surgery, it is recommended to limit sleep to approximately 3-4 hours. Please avoid napping.
   Keep your upper body elevated while sleeping to help reduce swelling more quickly.
   Also, please avoid sleeping on your side and sleep face-up.
4. ④   For approximately 2-3 weeks in the early post-operative period, please avoid bending your head down as much as possible.
   Avoid prolonged phone use or TV watching with your head tilted up or down.
5. ⑤   Using your eyebrows to open your eyes (e.g., taking eye photos, looking in the mirror), squinting, or widening your eyes
   may affect the surgical area, so please stop these actions.
6. ⑥   In the early post-operative period, please avoid any actions that put pressure on the eye surgical area.
   It is best to minimize even talking in the early period. (e.g., sneezing, coughing, crying, laughing, loud voices, etc.)
7. ⑦   Practice opening your eyes using only eye muscles, not your forehead consistently 24 hours a day until stitch removal.
   (Please absolutely avoid using your forehead muscles to open your eyes.)

1. ①   After lateral canthoplasty or lower eyelid surgery, if the white of the eye or conjunctiva appears swollen (conjunctival edema), this may persist for several weeks.
   This symptom resolves completely without any lasting effects, so please do not worry.
2. ②   For approximately 3-5 days after surgery, accumulated blood may drain from the surgical area. If blood drainage occurs, please apply cold compresses.
3. ③   Days 3-5 after surgery are when swelling peaks, so please apply cold compresses until day 5. Warm compresses may actually
   impede the recovery of swelling and conjunctival edema, so it is best to avoid warm compresses within 2 weeks after surgery.
4. ④   During the healing process, firm, bumpy tissue (hypertrophic scarring) may develop at the surgical area, and this may persist for several weeks.
   Hypertrophic scar treatment is available from weeks 3-4, so please get treated after a progress check.
5. ⑤   For approximately 5-7 days after surgery, keeping your upper body elevated while sleeping helps reduce swelling faster.
   Also, please avoid sleeping on your side and sleep face-up.
   Outside of sleeping hours, apply compresses frequently to help with swelling.

✓ Lateral Canthoplasty, Lower Eyelid Surgery Hypertrophic Scar Care Guide

What is hypertrophic scarring?

Hypertrophic scarring refers to the firm, raised tissue that forms during the wound healing process after surgical procedures.
Causes include excessive proliferation of surrounding tissue, adhesion of existing tissue, and the effects of sebaceous activity, among others.
Note that hypertrophic scarring is a natural occurrence that can happen not only after plastic surgery but also after general surgical procedures.
It can be understood as part of the process where damaged cells return to their normal condition.

When Hypertrophic Scarring Occurs

Hypertrophic scarring may begin to develop as early as 5-10 days after the surgery date.
Note that in the early post-operative period, swelling and redness may accompany the scarring, making it appear more prominent.

1. Hypertrophic Scar Care Guide
2. ①   In the early post-operative period, apply a small amount of eye ointment to prevent the scar area from drying out.
   Eye ointment helps protect damaged tissue from bacterial penetration.
3. ②   Hypertrophic scars are affected by UV exposure, so please apply sunscreen when going out.
   However, be careful not to get sunscreen in your eyes.
4. ③   Apply scar ointment starting 3 weeks after the surgery date.
   Recommended ointments include Contractubex gel, Noscarna, and Dermatix Ultra.