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Facial plastic surgery
My own aura decide my first impression

Epicanthoplasty

Epicanthoplasty is useful for patients with epicanthtic fold or when eyes are apart.
It is fixation for pseudostrabismus.
In case of Asian short eye length is always matter. That is reason for epicanthoplasty and canthoplasty.
In case of epicanthoplasty it is helpful for epicanthic fold and pseudostrabismus but it is not suggest for patient with red epicanthic corner.
With age, eye expression tends to be dull with redness
Epicantoplasty
Where inner and upper eyelid meets are called medial canthus and lateral
canthus Medial canthus and lateral canthus looks different.
Below is the difference between medial canthus and lateral canthus
01.epicanthal fold could be existing.
02.Because of caruncle, it could look red.
03.It is very close to tear duct.

Photo of epicanthic fold

Almost 100% of Asian born with epicanthic fold. With age epicanthic fold
disappears then caruncle starts to appear.
Epicanthic fold makes eyes longer but it can create unnatural and old look.
Especially, eye expression can not be good when caruncle shows.
It is not suggested to have epicanthoplasty
after middle age due to caruncle show.

Precausion for epicanthoplasty >
  • over corrected epicanthic fold

  • Medial canthus of young
    patient

  • Psedo-epicanthic fold due
    to severely sagged eyes

  • Medial canthus of young
    patient

Precious for epicanthoplasty
01.It is better surgeon doesn’t give specific measurement for correction, like 2mm or 3mm etc.
Each and every patient has different shape and size of face, it can not be mathematical.
02.If patient is not sure about having epicanthoplasty, better to not to have
03.If patients worry about carunkle show after operation it is better not to have epicantoplasty
Eyelid sagging cause pseudo-epicanthic fold. If operation is done to correct it, carunkle will
appear which lead to bad eye expression. In this case, forehead and brow lift needs to be done. Click here to see Pseudo-epicanthic fold-1 > Click here to see Pseudo-epicanthic fold-2 >

Pseudo-epicanthic fold due to severely sagged eyebrows

Correction of pseudo-epicanthic fold

Pseudo-epicanthic fold due to severely sagged eyebrows

Correction of pseudo-epicanthic fold

Surgical method
Dissection is made in triangular shape and muscle and ligament forming epicanthic fold is trimmed
Incision is only 5 to 7mm long, scar is very invisible
Crunkle is not showing too much and epicanthic fold remained partially, it is still natural

Watch this video

Surgical result

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