The Concept of Epicanthoplasty Revision and Reconstruction

If a previous epicanthoplasty leaves you with an awkward eye shape due to failure, you can prepare to restore your original eye appearance through a revision process. Epicanthoplasty is a method performed to enlarge the eyes or improve the angle of the outer corners, and it has been one of the options many people choose to create a more attractive appearance. However, in some cases, it can make the eyes look overly imbalanced or leave an unnatural impression. In such cases, epicanthoplasty revision surgery may be sought over time. If the back part of the eye is raised too much or becomes saggy, and scars such as a ㄷ-shape are formed, unsatisfactory results can follow.

If you have experienced unsatisfactory results or are dealing with problems for these reasons, it would be a good idea to make a plan to address them through epicanthoplasty revision. Because the eyes have a very strong influence on a person's image, excessive procedures can make that impression far from positive.

Various surgical methods may be applied when performing a basic epicanthoplasty. In the past, there were cases in which the procedure was performed by cutting the gray line. The gray line is an anatomical structure of the eye and refers to the mucosa on the lower part of the eye. If epicanthoplasty damages this area, the ligaments may become pulled or stuck during the process of opening and closing the eyes, creating a ㄷ-shape or causing scars. Therefore, great care and delicacy are needed so that this area is not damaged during epicanthoplasty.

At Eight, when performing epicanthoplasty, the outer canthus is opened by using a concept that pulls the back part outward, helping reduce the possibility of such side effects.

However, if side effects or other problems occur because the procedure was performed in a way that damaged the gray line, the basic principle of epicanthoplasty revision and reconstruction is to preserve and reconnect the gray line as much as possible. Therefore, it is important to consider the extent of widespread adhesions and scar tissue, and to achieve stable reconstruction by reconnecting the damaged gray line.

At Eight, we provide a stable plan while carefully analyzing even these detailed aspects. To do this, we carry out sufficient discussions with a board-certified plastic surgeon, closely examine each person's condition, and then propose an appropriate solution that takes the current eye shape into account.

Identifying the appropriate amount of correction for eyes that have developed problems due to overcorrection is also an important process. If the amount of restoration is not appropriate, the eyes may again look unnatural. The focus should be on minimizing the incision while maximizing the effect, and for this, the experience and skill of a specialist are essential. During the restoration process, it may be necessary to apply microsurgical incision and suturing techniques to reduce scarring and complete the shape naturally. Care should also be taken during the recovery period after restoration. You should avoid irritating the restored area around the eyes, and proper care such as warm compresses and walking is important. Regular disinfection and aftercare are also important for preventing infection. Because it is important to keep the restored area clean, it is advisable to be careful with makeup and similar products even after some recovery time has passed.

If you are considering epicanthoplasty revision, you must have a thorough discussion with a board-certified plastic surgeon. Through a one-on-one consultation before surgery, it is important to analyze the condition of the eyes and find the optimal direction for re-correction based on both your desired outcome and the current eye shape. If you have been troubled by a failed eye-corner surgery, please visit the clinic and receive systematic care.