
Hello,
This is Ainique.
If you were born with epicanthal folds,
and the inner corners of your eyes feel particularly closed off and constricted,
making your eyes look somewhat turtle-like,
the overall impression of your face
may also appear less open and more confined.
Because the epicanthal folds at the inner corners of the eyes
are difficult to fully correct simply by enlarging the eyes with double-eyelid surgery,
the procedure often considered in such cases is
an epicanthoplasty.

Epicanthoplasty can open up the inner portion of the eyes
and create a more open-looking eye shape.
But what if the procedure does not produce the desired result?
In particular, if the inner corners are opened excessively,
a larger area of the red inner-eye tissue may become visible,
which can make the eyes look sharp and give the face a harsher impression.
The more gentle and pleasant a person’s original appearance was,
the more noticeable this kind of change can be.
If the change in your appearance has been so sudden
that you feel your pre-surgery appearance was better,
a revision procedure may be considered
after identifying the main cause of the problem.
Let’s learn more together with a revision eye surgery clinic.

Cases requiring revision of epicanthoplasty
can generally be divided into cases where the opening was insufficient
and cases where the correction was excessive.
Both can occur because the epicanthal folds were not appropriately corrected.

Reconstructive procedures that may be considered in these cases
include epicanthoplasty reconstruction and mini-epicanthoplasty revision.
If too much of the lacrimal lake (the red inner-eye tissue) is exposed
during epicanthoplasty reconstruction,
as mentioned earlier, it can create a harsher appearance.
In such cases, the inner corner can be restored.
Mini-epicanthoplasty revision
may be performed with a minor excision to make a subtle adjustment
when epicanthoplasty has been performed but the feeling of constriction has not disappeared.

To reduce the likelihood of discomfort requiring revision,
exposing an appropriate amount of the lacrimal lake is important.
At the revision eye surgery clinic Ainique,
we generally consider the most appropriate range to be
from one-third to two-thirds.
If more than this is visible,
the eyes may instead appear harsher.

Even after epicanthoplasty, if the eyes still feel constricted,
satisfaction with the result may decrease.

A feature of mini-epicanthoplasty that may be considered in such cases
is that it removes only part of the epicanthal fold.
Because it does not excessively affect the lacrimal lake,
it is a method developed to address the limitations of conventional epicanthoplasty,
while allowing patients to expect a sufficiently open and stable result
without significantly changing the exposed area.
Only the area where the epicanthal fold is present is gently separated,
and a small amount is opened to create a natural improvement.
Today, we explained possible ways to improve
a harsh appearance caused by an improperly performed epicanthoplasty.
For a detailed consultation,
please contact us through the channel below at any time.
Thank you!

