”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!
*Individual results may vary. Side effects such as bleeding, infection, and inflammation may occur after cosmetic surgery. Please consult your doctor.
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 correctedinto an in-out fold or out-fold starting from the inner eye corner,achieving a more defined eye appearance.
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.
To avoid interference from the epicanthal fold,the inner corner crease linemust be set high.
Due to the diagonal pulling tensionof the epicanthal fold,multiple creases develop.
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The epicanthal fold covers the front crease line,preventing it from being visible.
When upper epicanthoplasty and double eyelid surgery are performed together,a natural in-out fold double eyelidcan 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 for70~80% of cases.For both first-time and revision double eyelid surgery,checking for the presence of epicanthal foldis essential!
<Problem Analysis>- Double eyelid crease linefades toward the inner corner- Eyelid covers the pupil,creating a sleepy appearance
Design considering the innereye corner and crease line
After eyelid incision,pull in the 45-degree directionto open the area
Clear double eyelid crease linefrom 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 creasestarts from the inner corner, but NO!The double eyelid crease extends from the center of the eyelid along the graintoward 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 tentis similar to loosening the epicanthal foldthrough upper epicanthoplasty.Loosening the tension of the epicanthal foldto freely shape the inner corner crease line and formis the core principle of upper epicanthoplasty surgery.
Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(4 months)
Upper epicanthoplasty revealsthe 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 foldpulling 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 tensionof 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)
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
Case 14
Incisional Double Eyelid(Revision)+Upper Epicanthoplasty+Lower Eyelid Surgery(7 months)
In-fold double eyelids where the inner corner crease line is not visiblecan be corrected to an in-out fold double eyelidthrough hook-shaped canthoplasty (medial epicanthoplasty + upper epicanthoplasty) to open the covered inner eye corner.
Non-incisional Double Eyelid+Upper Epicanthoplasty(3 years8 months)
Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(Revision)(6 months)
Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(2 years9 months)
Epicanthoplasty Reconstruction+Upper Epicanthoplasty(4 months)
Non-incisional Ptosis Correction+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(3 months)
Non-incisional Double Eyelid(Revision)+Upper Epicanthoplasty(10 months)
Incisional Ptosis Correction(Revision)+Medial Epicanthoplasty+Upper Epicanthoplasty(5 months)
Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(9 months)
Non-incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(2 months)
Incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty(4 months)
Non-incisional Ptosis Correction(Revision)+Medial Epicanthoplasty+Upper Epicanthoplasty(5 months)
Medial Epicanthoplasty+Upper Epicanthoplasty+Lower Eyelid Surgery(Revision)(7 months)
Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty(Revision)+Lower Eyelid Revision (Loosening)(Revision)(3 months)
Non-incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(Revision)+Lateral Canthoplasty + Lower Eyelid Surgery(1 year 8 months)
Partial Incisional Double Eyelid(Revision)+Upper Epicanthoplasty(Revision)(5 months)
Non-incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(7 months)
Non-incisional Ptosis Correction+Upper Epicanthoplasty+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(Revision)(1 months)
Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty(Revision)+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(1 year 8 months)
Partial Incisional Ptosis Correction(Revision)+Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(4 months)
High and unnatural out-fold double eyelidscan be corrected to a natural in-out fold double eyelidby combining crease lowering with hook-shaped canthoplasty (medial epicanthoplasty + upper epicanthoplasty).
Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(1 year)
Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(11 months)
Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(Revision)(4 months)
Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(Revision)(5 months)
Upper Blepharoplasty with Ptosis Correction+Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(3 months)
Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(7 months)
Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(Revision)(1 year 3 months)
Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(Revision)(6 months)
Epicanthal folds that extend long and create a hook shape at the inner eye cornerare removed through medial epicanthoplasty (or epicanthoplasty reconstruction) and upper epicanthoplasty,correcting the eyes to a clear and gentle appearance.
Non-incisional Ptosis Correction+Epicanthoplasty Reconstruction+Upper Epicanthoplasty(8 months)
Non-incisional Double Eyelid(Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(8 months)
Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty(2 months)
Epicanthoplasty Reconstruction+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(3 months)
Incisional Ptosis Correction(Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty(4 months)
Non-incisional Ptosis Correction(Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty(Revision)+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(Revision)(3 months)
Incisional Ptosis Correction(Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty(3 months)
Incisional Ptosis Correction(Revision)+Medial Epicanthoplasty+Upper Epicanthoplasty(6 months)
Non-incisional Ptosis Correction(Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(3 months)
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 epicanthoplastycan simultaneously improve the inner corner shape and double eyelid crease line.
Epicanthoplasty Reconstruction+Upper Epicanthoplasty(3 months)
Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(Revision)(5 weeks)
Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(Revision)(4 months)
Non-incisional Double Eyelid(Revision)+Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty(Revision)+Lateral Canthoplasty + Lower Eyelid Surgery(Revision)(2 years)
Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(9 months)
Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty(6 weeks)
Non-incisional Double Eyelid(Revision)+Upper Epicanthoplasty(Revision)(5 weeks)
Epicanthoplasty Reconstruction(Revision)+Lateral Canthoplasty Reconstruction(1 year 4 months)
Incisional Double Eyelid(Revision)+Lateral Canthoplasty + Lower Eyelid Surgery(7 weeks)
Incisional Ptosis Correction(Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty(6 months)
Incisional Ptosis Correction(Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty(Revision)+Lateral Canthoplasty + Lower Eyelid Surgery(Revision)(3 months)
Incisional Ptosis Correction(Revision)+Epicanthoplasty Reconstruction(1 year)
Medial Epicanthoplasty(Revision)+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(Revision)(2 months)
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)
The epicanthal fold at the inner eye corner creates multiple layers in the crease lineor 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.
Incisional Double Eyelid(Revision)+Upper Epicanthoplasty(1 months)
Incisional Ptosis Correction+Upper Epicanthoplasty(6 months)
Incisional Ptosis Correction+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery+Orbital Fat Grafting(8 months)
Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty Reconstruction+Lower Eyelid Surgery(Revision)(6 months)
Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(7 months)
Non-incisional Ptosis Correction+Upper Epicanthoplasty+Lateral Canthoplasty(Revision)+Lower Eyelid Surgery(9 months)
Incisional Double Eyelid(Revision)+Medial Epicanthoplasty(Revision)+Upper Epicanthoplasty(Revision)(8 months)
Performing medial and upper epicanthoplasty together yields more dramatic results than each procedure alone.