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Epicanthoplasty Revision Surgery Requires Precise and Delicate Technique

Inique Plastic Surgery · 아이니크 성형외과 공식블로그 · March 16, 2023

​ Hello. This is iNique Plastic Surgery. ​ Epicanthoplasty, which many people undergo to achieve a brighter-looking eye shape, is a procedure that removes the epicanthal fold cover...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Inique Plastic Surgery

Original post date: March 16, 2023

Translated at: April 23, 2026 at 5:05 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

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Hello.

This is iNique Plastic Surgery.

Epicanthoplasty, which many people undergo to achieve a brighter-looking eye shape, is a procedure that removes the epicanthal fold covering the inner corner of the eye and opens the inner eye corner to reduce the horizontal width of the eyes so that the lacrimal caruncle can be exposed appropriately.

Why do we, in particular, try to design a brighter-looking eye shape?

The reason is that most East Asians have an epicanthal fold that covers the lacrimal caruncle (the red tissue) at the inner corner of the eye and folds downward over the upper eyelid.

If this epicanthal fold is severe, the distance between the eyes may appear wide, which can create a somewhat constricted impression and may make it difficult to give the other person a positive impression.

However, among those who underwent epicanthoplasty with high expectations, there are also many who seek epicanthoplasty revision surgery because the opening was made too wide or not wide enough.

Although it was a surgery they made a big decision to undergo, if the results were unsatisfactory and they feel disappointed, they can now address those concerns through iNique’s epicanthoplasty revision surgery.

At iNique, where the number of revision surgeries including eye surgeries performed exceeds 5,000 cases, epicanthoplasty revision surgery is also performed.

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Epicanthoplasty revision can generally be considered by people who show the following two symptoms.

  1. When too much epicanthoplasty dissection was performed (overcorrection)

    and the amount of lacrimal caruncle exposure is excessive

  2. When the amount of lacrimal caruncle exposure is appropriate

    but the shape of the eye still looks constricted

Then, from now on, we will take a detailed look at the types of epicanthoplasty reconstruction surgery that correspond to overcorrection and undercorrection.

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The first type is how to reconstruct lacrimal caruncle exposure caused by excessive epicanthoplasty.

The red area visible at the inner corner of the eye is called the lacrimal caruncle.

It means a pond where tears collect.

Ideally, only about one-third to two-thirds of this should be visible. If more than that is exposed, it can look unnatural and may easily give a sharp, harsh impression.

In this case, a V_Y ADVANCEMENT is performed to close the inner eye corner.

An incision is made along the epicanthoplasty scar, the skin is dissected so it can move, and then it is sutured closed in a zipper-like manner.

However, if it is closed too much, it can instead look constricted, so it is very important to design it so that only about one-third is closed, preventing the inner corner from looking too tight.

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Next is the second type,

when the eyes still look constricted even after epicanthoplasty.

If the amount of lacrimal caruncle exposure is appropriate after epicanthoplasty but the eyes still appear constricted, it is likely because the shape of the inner corner of the eye is rounded.

Therefore, we recommend a “mini epicanthoplasty” that creates a brighter-looking eye shape without changing the amount of lacrimal caruncle exposure.

By removing only part of the epicanthal fold, the amount of lacrimal caruncle exposure can be kept the same while the inner shape is sharpened to make the eyes appear brighter.

In the case of iNique mini epicanthoplasty, it is also a representative procedure that many people seek out, thanks to iNique’s unique technology, for which a trademark application has been filed with the Korean Intellectual Property Office.

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Another question for those considering eye revision surgery is likely when revision surgery becomes possible.

In general, iNique recommends revision surgery from around 6 months, when the hard scar tissue begins to soften. However, if the symptoms are severe or daily life is difficult, the timing of revision surgery can be adjusted through sufficient consultation, so thorough discussion with the medical team is important.

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So far, we have taken a detailed look at epicanthoplasty revision surgery with iNique.

Unlike regular epicanthoplasty, epicanthoplasty reconstruction surgery is a revision procedure, so the difficulty level is high and requires precise and delicate technique.

To help prevent unsatisfactory surgical results from happening again, iNique, with extensive surgical experience and know-how recognized through textbook and academic paper publications, will be with you.

In addition, we will continue to strive to ensure your satisfaction through subtle revision surgery and postoperative care for successful results.

If you would like more detailed information, please visit the homepage below, and use the KakaoTalk consultation channel for inquiries.

Then, until now, as if you had been beautiful from the very beginning, this has been iNique Plastic Surgery.

Thank you.

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