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Hi, I am specialist doctor Sin InSu from Jayjun Plastic Surgery. For today's topic, we will talk about the epicanthoplasty reconstruction surgery, a solution when we do not like the result of the epicanthoplasty. Q. What kind of people need to have epicanthoplasty reconstruction surgery? Normally, situation when the inner corners of the eyes are opened too widely,

and situation in which too much of the reddish lacrimal lake in the inner part of the eyes is being seen, these are the situations when epicanthoplasty reconstruction surgery is needed. Next, the second thing that we can think about is that for epicanthoplasty, rather than making the eye shape,

a surgery that makes the skin in the inner part of the eyes that you originally have and which was being hidden to be seen again can be called an "epicanthoplasty surgery". There are some people whose inner eye corners are very sharp like bird's beak. However, for this kind of people, if epicanthoplasty is done excessively, the eyes can look like they are being ripped to the front,

so same for the people whose eyes look like that, they will need to have an epicanthoplasty reconstruction surgery. Next, even if the eye condition is not like this, for people whp think that the right eye and left eye are too close to each other after having epicanthoplasty surgery, they can consider having epicanthoplasty reconstruction surgery. And in the situation in which epicanthoplasty surgery was being done,

it is inevitable that you will get a scar. For the situation in which the most common surgical method that plastic surgeons like us choose these days is being used, situation in which a large scar is being left specifically will not happen, but if the epicanthoplasty is done excessively, or if while doing the epicanthoplasty surgery, in order to make the double eyelid into an out-line,

the front side is being incised too excessively and too much of the skin tissue is being removed, many scars will be left. For people with such situation, they will need to have an epicanthoplasty reconstruction surgery. Epicanthoplasty reconstruction surgery is necessary to these kinds of people! If you look at this photo, for situation like this person,

after having epicanthoplasty surgery, we can feel that the distance between the two eyes becomes a lot narrower And at the same time, much of the reddish lacrimal lake is being seen. And for the eye shape, the front side looks like being ripped into a bird's beak. And the eyes look like this, we can say that this person needs to have an epicanthoplasty reconstruction surgery. For situation same with this person,

compared with the right eye, too much lacrimal lake of the left eye is exposed, and it feels like the exposed lacrimal lake is extremely round. Therefore, for situation same with this person, epicanthoplasty reconstruction surgery must be done, we can say that it is necessary to match the balance of the both sides of the eyes. For situation same with this person,

although the inner corners of the eyes are not opened too much actually, as the patient does not like that the front side of the double eyelids is being exposed too much, as the patient wants to make the front side of the double eyelids be less visible at the same time, for situation same with this patient, if epicanthoplasty reconstruction surgery is being done,

we can expect an effect in which the double eyelid line in the front being lowered. Q. What is the surgical method of epicanthoplasty reconstruction surgery? For epicanthoplasty reconstruction surgery, in general, we can say that it is a surgery that reconstruct the skin, the epicanthus in the inner part of the eyes that being removed in the previous epicanthoplasty surgery.

As we cannot seek the removed skin from anywhere, in general, we can say that it is a surgery in which the tissues surrounding the inner corner are being pulled and used to block the front. Therefore, in general, the method that being used very often is called "V-Y advancement flapping technique". After doing the incision in a 'ㅅ' shape, the skin in the upper and lower part is being pulled and sewed.

This kind of surgical way is the method that being used most often in general. Other than pulling the tissues to the front, among our plastic surgical skills, we also use a surgical method called 'double flapping revision', in which the skin in the bottom side us being turned up and lifted after doing an incision in a 'Z' shape.

In this kind of situation, it is a surgical method that can do fine adjustment while the inner corner of the eye is being made a bit roundly, and it is a method in which 2 flaps are being turned in the bottom. Sometimes, we do surgery in this way.

And on the other hand, there is a method in which 'skin repositioning method' that is being used the most frequently when we do epicanthoplasty surgery, is being done in the opposite way. So we can do the surgery in that way too. Q. Is there any things that we need to pay attention to in the recovery after epicanthoplasty reconstruction surgery? Although we do not have to set a long recovery period,

normally, after we have done the surgery, we need to keep the thread for about 1 week. After 1 week, when the thread is being removed, there will be no problems with light cleansing and daily activities. However, as what I have said just a moment ago, as it is a surgery that pull the surrounding tissues and fix them,

if excessive pressure or force is being put on the area underwent surgery, the wound on the area underwent surgery will get wider, or things like the scar be left widely can happen, so to people who seem to be very nervous when we were doing the surgery, we will advise them to put on (medical) tape for a while even the threads have been removed.

For people who were not excessively nervous when we were doing the surgery, we can say that there will be no problem with you daily activities after about 2-3 weeks. So far, we've talked about epicanthoplasty reconstruction surgery, a solution when we do not like the result of the epicanthoplasty.

For people who are watching this video, I am sure that many of you should had an epicanthoplasty surgery before, and are not satisfied with some parts of the result. Do not be so worried about that part, I hope you can come to me and get a chance to discuss with me about the solution. That's all for today. See you next time, please~