• United States
  • China
  • Japan
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SISUN PREMIUM EYE SURGERY

Permanent Upper Epicanthoplasty

”The secret to always looking bright and lively, even when tired?”
Delicately lifting up to the 45° area of the eyelid for a crisp, defined eye appearance!

  • Surgery Duration
    20~30 min
  • Anesthesia
    IV Sedation / Local
  • Stitch Removal
    7 days
  • Hospitalization
    Same-day Discharge
  • Recovery Period
    7 days

*Individual results may vary. Side effects such as bleeding, infection, and inflammation may occur after cosmetic surgery. Please consult your doctor.

What Is Permanent Upper Epicanthoplasty?

Non-incisional Double Eyelid + Upper Epicanthoplasty (3 years 7 months)

Upper epicanthoplasty is a surgery that lifts the upper eyelid at the 45-degree area connected to the inner eye corner.
When this area droops heavily, double eyelid surgery alone often fails to reveal the crease line,
making the eyes appear tired or sleepy.
With Permanent Upper Epicanthoplasty, the double eyelid crease can be corrected
into an in-out fold or out-fold starting from the inner eye corner,
achieving a more defined eye appearance.

Upper Epicanthoplasty Ideal Candidates

  • Double eyelid crease
    is hidden at the
    inner eye corner
  • Eyes appear
    sleepy
  • Eyes look fierce
    due to epicanthal fold
    at the inner corner
  • Short vertical
    eye length

What Is Epicanthal Fold?

Epicanthal Fold Commonly Seen in Asian Eyes
One characteristic of Korean eyes is that the inner eye corners are covered by the Mongolian fold (epicanthal fold).
This epicanthal fold covers the inner eye corner, creating a hook-like shape and hiding the front double eyelid crease line.
Additionally, it covers the pupil, making the eyes look stuffy and fierce.
In such cases, Removing the Mongolian fold is necessary to achieve an ideal eye appearance.
Various Forms of Epicanthal Fold for Upper Epicanthoplasty
  • Double eyelid crease hidden by epicanthal fold

  • Hook-shaped inner eye corner

  • Fierce-looking eyes

  • Covered pupil

If double eyelid surgery is performed without removing the epicanthal fold,
the vertical tension of the epicanthal fold increases the chance of the double eyelid coming undone,
and the covering epicanthal fold makes it difficult to achieve the desired crease line.

Why Upper Epicanthoplasty Is Needed

  1. 1. To round out the inner eye corner shape (drooping, angular corners)
  2. 2. To convert an in-fold to an in-out fold
  3. 3. To create a semi-out fold crease
  4. 4. To convert an out-fold to an in-out fold
  5. 5. To correct hook-shaped inner corners and Mongolian folds
  6. 6. To remove dog-ear deformity
  7. 7. To remove Mongolian fold between crease and eye line

What Happens If Double Eyelid Surgery
Is Done Without Removing the Epicanthal Fold?

Out-fold
Sausage-like double eyelid

To avoid interference from the epicanthal fold,
the inner corner crease line
must be set high.

Multiple Creases

Due to the diagonal pulling tension
of the epicanthal fold,
multiple creases develop.

Before

In-fold

The epicanthal fold covers the front crease line,
preventing it from being visible.

AfterIncisional Ptosis Correction(Revision)+Upper Epicanthoplasty(4 months)

When upper epicanthoplasty and double eyelid surgery are performed together,
a natural in-out fold double eyelid
can be achieved.

Want to improve deformation of the inner corner double eyelid crease line,
out-fold (scarring), or shape changes?

Double eyelid surgery alone cannot fix these issues.

In most cases, problems caused by the epicanthal fold at the inner corner account for
70~80% of cases.

For both first-time and revision double eyelid surgery,
checking for the presence of epicanthal fold
is essential!

Upper Epicanthoplasty Surgical Method

Before Surgery

<Problem Analysis>
- Double eyelid crease line
fades toward the inner corner
- Eyelid covers the pupil,
creating a sleepy appearance

STEP01

Design considering the inner
eye corner and crease line

STEP02

After eyelid incision,
pull in the 45-degree direction
to open the area

After Surgery

Clear double eyelid crease line
from inner to outer corner

1. To Create In-out Fold and Semi-out Fold

Correct double eyelid starting point

Incorrect double eyelid starting point

Many people believe the double eyelid crease
starts from the inner corner, but NO!

The double eyelid crease extends from the center of the eyelid along the grain
toward both the front and back.
(The height of the center point determines the crease height)

Position of the Epicanthal Fold

Epicanthal Fold vs Double Eyelid Conflict

Direction of Epicanthal Fold Tension

The epicanthal fold interferes with creating the double eyelid crease.
The epicanthal fold covers and pulls diagonally at the inner eye corner,
causing the front crease line and the epicanthal fold to conflict.
(The epicanthal fold interferes with creating in-out fold and semi-out fold creases)

Orbicularis oculi muscle

Therefore,
to create a natural in-out fold or semi-out fold,
the epicanthal fold must be removed through upper epicanthoplasty.

2. Inner Eye Corner Shape Correction (Parabolic Shape)

Think of it like a tent pulled taut and fixed in place —
if the direction the epicanthal fold pulls is like the tent stake,
then removing the stake to loosen the tent
is similar to loosening the epicanthal fold
through upper epicanthoplasty.

Loosening the tension of the epicanthal fold
to freely shape the inner corner crease line and form
is the core principle of upper epicanthoplasty surgery.

Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(4 months)

Upper epicanthoplasty reveals
the front double eyelid crease line.
(In-out fold line)

Partial Incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty(6 weeks)

With upper epicanthoplasty performed here,
a semi-out fold line can be created.

With upper epicanthoplasty, the inner eye corner shape transforms into a rounded form,
creating an ideal crescent-shaped eye appearance.

3. To Prevent Multiple Creases and Double Eyelid Loosening

Due to the diagonal tension of the epicanthal fold
pulling on the inner eye corner,
the double eyelid crease may not settle properly, causing multiple creases,
and over time the fixation weakens,
potentially causing the crease line to come undone.

Therefore, upper epicanthoplasty releases the tension
of the epicanthal fold at the inner corner,
preventing potential future problems.

Upper Blepharoplasty(Revision)+Upper Epicanthoplasty(4 months)

Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(1 months)

Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(3 months)

Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(Revision)+Orbital Fat Grafting(1 months)

01

Rounding the Inner Eye Corner Shape (Drooping and Angular Inner Corners)

If double eyelid surgery is performed without removing the epicanthal fold,
the crease line gets absorbed inward, resulting in drooping or angular inner corners.
In this case, medial epicanthoplasty and upper epicanthoplasty remove the epicanthal fold to reveal the starting point of the inner corner crease line.

  • Case 1

    Incisional Ptosis Correction+Upper Epicanthoplasty(4 months)

  • Case 2

    Incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(5 months)

  • Case 3

    Non-incisional Ptosis Correction+Upper Epicanthoplasty(4 months)

  • Case 4

    Incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty(6 months)

  • Case 5

    Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(1 weeks)

  • Case 6

    Incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty(5 months)

  • Case 7

    Incisional Ptosis Correction+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(6 months)

  • Case 8

    Non-incisional Ptosis Correction(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(8 months)

  • Case 9

    Non-incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(3 months)

  • Case 10

    Incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty(8 months)

  • Case 11

    Incisional Ptosis Correction+Upper Epicanthoplasty(1 year 6 months)

  • Case 12

    Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty+Orbital Fat Grafting+Lower Eyelid Fat Grafting(1 year)

  • Case 13

    Incisional Ptosis Correction+Upper Epicanthoplasty(4 months)

  • Case 14

    Incisional Double Eyelid(Revision)+Upper Epicanthoplasty+Lower Eyelid Surgery(7 months)

02

In-fold to In-out Fold

In-fold double eyelids where the inner corner crease line is not visible
can be corrected to an in-out fold double eyelid
through hook-shaped canthoplasty (medial epicanthoplasty + upper epicanthoplasty) to open the covered inner eye corner.

  • Case 1

    Non-incisional Double Eyelid+Upper Epicanthoplasty(3 years8 months)

  • Case 2

    Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(Revision)(6 months)

  • Case 3

    Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(2 years9 months)

  • Case 4

    Epicanthoplasty Reconstruction+Upper Epicanthoplasty(4 months)

  • Case 5

    Non-incisional Ptosis Correction+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(3 months)

  • Case 6

    Non-incisional Double Eyelid(Revision)+Upper Epicanthoplasty(10 months)

  • Case 7

    Incisional Ptosis Correction(Revision)+Medial Epicanthoplasty+Upper Epicanthoplasty(5 months)

  • Case 8

    Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(9 months)

  • Case 9

    Non-incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(2 months)

  • Case 10

    Incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty(4 months)

  • Case 11

    Non-incisional Ptosis Correction+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(3 months)

  • Case 12

    Non-incisional Ptosis Correction(Revision)+Medial Epicanthoplasty+Upper Epicanthoplasty(5 months)

Hook-shaped Inner Corner Correction Go to Page
03

Semi-out fold

  • Case 1

    Medial Epicanthoplasty+Upper Epicanthoplasty+Lower Eyelid Surgery(Revision)(7 months)

  • Case 2

    Incisional Ptosis Correction(Revision)+Medial Epicanthoplasty+Upper Epicanthoplasty(5 months)

  • Case 3

    Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty(Revision)+Lower Eyelid Revision (Loosening)(Revision)(3 months)

  • Case 4

    Non-incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(Revision)+Lateral Canthoplasty + Lower Eyelid Surgery(1 year 8 months)

  • Case 5

    Non-incisional Ptosis Correction(Revision)+Medial Epicanthoplasty+Upper Epicanthoplasty(5 months)

  • Case 6

    Partial Incisional Double Eyelid(Revision)+Upper Epicanthoplasty(Revision)(5 months)

  • Case 7

    Non-incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(7 months)

  • Case 8

    Non-incisional Ptosis Correction+Upper Epicanthoplasty+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(Revision)(1 months)

  • Case 9

    Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty(Revision)+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(1 year 8 months)

  • Case 10

    Partial Incisional Ptosis Correction(Revision)+Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(4 months)

04

Out-fold → In-out fold

High and unnatural out-fold double eyelids
can be corrected to a natural in-out fold double eyelid
by combining crease lowering with hook-shaped canthoplasty (medial epicanthoplasty + upper epicanthoplasty).

  • Case 1

    Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(1 year)

  • Case 2

    Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(4 months)

  • Case 3

    Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(11 months)

  • Case 4

    Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(Revision)(4 months)

  • Case 5

    Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(Revision)(5 months)

  • Case 6

    Upper Blepharoplasty with Ptosis Correction+Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(3 months)

  • Case 7

    Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(7 months)

  • Case 8

    Incisional Ptosis Correction+Upper Epicanthoplasty(4 months)

  • Case 9

    Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(Revision)(1 year 3 months)

  • Case 10

    Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(Revision)(6 months)

Crease Lowering Go to Page
05

Hook Shape and Epicanthal Fold Improvement

Epicanthal folds that extend long and create a hook shape at the inner eye corner
are removed through medial epicanthoplasty (or epicanthoplasty reconstruction) and upper epicanthoplasty,
correcting the eyes to a clear and gentle appearance.

  • Case 1

    Non-incisional Ptosis Correction+Epicanthoplasty Reconstruction+Upper Epicanthoplasty(8 months)

  • Case 2

    Non-incisional Double Eyelid(Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(8 months)

  • Case 3

    Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty(2 months)

  • Case 4

    Epicanthoplasty Reconstruction+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(3 months)

  • Case 5

    Incisional Ptosis Correction(Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty(4 months)

  • Case 6

    Non-incisional Ptosis Correction(Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty(Revision)+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(Revision)(3 months)

  • Case 7

    Incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty(4 months)

  • Case 8

    Incisional Ptosis Correction(Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty(3 months)

  • Case 9

    Incisional Ptosis Correction(Revision)+Medial Epicanthoplasty+Upper Epicanthoplasty(6 months)

  • Case 10

    Non-incisional Ptosis Correction(Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(3 months)

06

Dog-ear Deformity Removal

Dog-ear deformity occurs when double eyelid surgery is performed without removing the epicanthal fold,
or when a step difference forms during the post-surgical suturing at the inner eye corner.
In such cases, medial epicanthoplasty (or epicanthoplasty reconstruction) and upper epicanthoplasty
can simultaneously improve the inner corner shape and double eyelid crease line.

  • Case 1

    Epicanthoplasty Reconstruction+Upper Epicanthoplasty(3 months)

  • Case 2

    Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(Revision)(5 weeks)

  • Case 3

    Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(Revision)(4 months)

  • Case 4

    Non-incisional Double Eyelid(Revision)+Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty(Revision)+Lateral Canthoplasty + Lower Eyelid Surgery(Revision)(2 years)

  • Case 5

    Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(9 months)

  • Case 6

    Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty(6 weeks)

  • Case 7

    Non-incisional Double Eyelid(Revision)+Upper Epicanthoplasty(Revision)(5 weeks)

  • Case 8

    Epicanthoplasty Reconstruction(Revision)+Lateral Canthoplasty Reconstruction(1 year 4 months)

  • Case 9

    Incisional Double Eyelid(Revision)+Lateral Canthoplasty + Lower Eyelid Surgery(7 weeks)

  • Case 10

    Incisional Ptosis Correction(Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty(6 months)

  • Case 11

    Incisional Ptosis Correction(Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty(Revision)+Lateral Canthoplasty + Lower Eyelid Surgery(Revision)(3 months)

  • Case 12

    Incisional Ptosis Correction(Revision)+Epicanthoplasty Reconstruction(1 year)

  • Case 13

    Medial Epicanthoplasty(Revision)+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(Revision)(2 months)

  • Case 14

    Incisional Ptosis Correction(Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty(8 months)

  • Case 15

    Incisional Double Eyelid(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(1 year 1 months)

  • Case 16

    Epicanthoplasty Reconstruction+Upper Epicanthoplasty(Revision)(1 year 2 months)

  • Case 17

    Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty(4 months)

  • Case 18

    Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty(Revision)(4 months)

07

Removing Epicanthal Fold Between Double Eyelid Crease and Eye Line

The epicanthal fold at the inner eye corner creates multiple layers in the crease line
or weakens the double eyelid fixation, causing the line to loosen.
Therefore, medial epicanthoplasty and upper epicanthoplasty release the epicanthal fold tension and create a clear crease line.

  • Case 1

    Incisional Double Eyelid(Revision)+Upper Epicanthoplasty(1 months)

  • Case 2

    Incisional Ptosis Correction+Upper Epicanthoplasty(6 months)

  • Case 3

    Incisional Ptosis Correction+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery+Orbital Fat Grafting(8 months)

  • Case 4

    Non-incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(3 months)

  • Case 5

    Incisional Ptosis Correction+Upper Epicanthoplasty(4 months)

  • Case 6

    Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(1 year)

  • Case 7

    Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty Reconstruction+Lower Eyelid Surgery(Revision)(6 months)

  • Case 8

    Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(7 months)

  • Case 9

    Non-incisional Ptosis Correction+Upper Epicanthoplasty+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(9 months)

  • Case 10

    Incisional Double Eyelid(Revision)+Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty(Revision)(8 months)

Permanent Upper Epicanthoplasty

Click photos with the button to visit the blog for more details.
* 환자의 사전동의를 받아 촬영한 사진입니다.

SISUN's Permanent Medial Upper Epicanthoplasty

Better Results Together! Higher Satisfaction!

Performing medial and upper epicanthoplasty together yields more dramatic results than each procedure alone.

“Medial Epicanthoplasty + Upper Epicanthoplasty” Surgery Cases
* 환자의 사전동의를 받아 촬영한 사진입니다.

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더보기

Before & After

Permanent Upper Epicanthoplasty — SISUN TV

Canthoplasty — Doctor's Note