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[Luho Plastic Surgery] How Much Do You Know About Medial Canthoplasty Revision?

Luho Plastic Surgery · LUHO PLASTIC SURGERY · November 13, 2022

From how to reverse a failed medial canthoplasty to tips for making sure it doesn’t fail in the first place! #doubleeyelidsurgery #doubleeyelid #eyeplasticSurgery #medialcanthoplas...

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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: Luho Plastic Surgery

Original post date: November 13, 2022

Translated at: April 23, 2026 at 3:41 AM

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

From how to reverse a failed medial canthoplasty to tips for making sure it doesn’t fail in the first place!

#doubleeyelidsurgery #doubleeyelid #eyeplasticSurgery #medialcanthoplasty #canthoplasty #medialcanthoplastyrevision #LuhoplasticSurgery

Hello. This is Luho Plastic Surgery.

Usually, when people get double eyelid surgery, they also get canthoplasty at the same time.

It is a procedure done to create a more open-looking eye shape,

but some people end up stressed when it doesn’t go well.

Today, let’s learn about

medial canthoplasty revision, which can restore a failed medial canthoplasty to its original state.

In what cases is medial canthoplasty performed?

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Medial canthoplasty is often performed together with double eyelid surgery.

The most common case is when the distance between the eyes is wide.

By narrowing the distance between the eyes with medial canthoplasty,

it can create a cleaner and more attractive appearance,

so in such cases, medial canthoplasty is needed.

Also, when a person does not have a double eyelid, the epicanthic fold may look natural.

But after creating a double eyelid, the epicanthic fold can become more noticeable than before.

In such cases, medial canthoplasty may be performed to release the epicanthic fold.

Another case is when the double eyelid line is an inline and needs to be changed to a larger line such as an in-out line or an out line.

In that case, canthoplasty may also be performed.

So, the size of double eyelid lines such as inline, in-out, and out line

is determined not only by the size of the line itself, but also by how strong the epicanthic fold is.

Therefore, canthoplasty is sometimes done for fine adjustments to the line.

When does medial canthoplasty become a problem?

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The first is one of the most common cases.

If the distance between the eyes is already narrow but medial canthoplasty is performed because the epicanthic fold is strong,

there are cases where the distance between the eyes becomes too narrow and the overall impression changes in an unattractive way.

The second case is when too much of the lacrimal caruncle is exposed.

The lacrimal caruncle refers to the red tissue at the inner corner of the eye.

If this area is opened too much, it can give a very strong impression.

Some people have a much redder caruncle color.

In such cases, even if the medial canthoplasty is opened to the same degree as in other cases,

it may look as though it was opened much more, making the overall impression appear stronger.

The third case is when the shape of the inner corner of the eye becomes unusual after canthoplasty.

Medial canthoplasty, like the double eyelid line, is a procedure that requires very careful design,

so if the design is slightly off and the inner corner becomes too round,

or on the contrary, too pointed and hook-shaped,

it does not look like a natural eye shape,

and may actually make it obvious that surgery was done.

Lastly, there are cases where the scar from medial canthoplasty is left too severely.

Since medial canthoplasty is a procedure that, when done naturally without opening too much, does not leave scars,

the scars from medial canthoplasty are usually hidden inside.

However, if it is opened too much, they cannot be hidden and the scar becomes visible.

Very small scars can be removed with laser treatment,

but deeper or larger scars may be candidates for medial canthoplasty revision.

What is medial canthoplasty revision, and how is it performed?

Does surgery restore it completely?

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To put it simply, medial canthoplasty revision is

surgery that closes what was opened too much.

It can also be described as a procedure that gathers the surrounding skin that remained after the canthoplasty and replenishes the lost skin.

In most cases, when the opening is closed and the surrounding skin is gathered,

satisfactory results can be achieved.

However, in cases where this is the first surgery, or where multiple surgeries have left very little surrounding skin,

there may be no skin available to supplement, making revision difficult.

Canthoplasty revision surgery,

there seem to be many methods....

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Just as there are various methods for double eyelid surgery, there are also several types of medial canthoplasty revision.

But for canthoplasty, design seems more important than the method.

Even if the same incision method is used for double eyelid surgery, the results can still be different.

So when consulting about medial canthoplasty revision, it is most important to discuss in detail with the surgeon what final shape you want to achieve

before proceeding with surgery.

Can double eyelid revision surgery

be done at the same time?

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Usually, people who come in for a consultation about medial canthoplasty revision are

not only dealing with a failed medial canthoplasty,

but also with a failed double eyelid surgery in many cases.

So there are many people who want both medial canthoplasty revision and double eyelid revision.

Canthoplasty revision is a procedure that closes what was opened and pulls in the surrounding skin

to supplement the missing skin, so if double eyelid surgery is performed first,

procedures such as skin excision during surgery may make the already insufficient skin even more insufficient,

which can create problems for canthoplasty revision.

Therefore, in many cases, canthoplasty revision is performed first, and double eyelid revision surgery is done after 3 months.

When can revision surgery

be performed?

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As with all revision surgeries, medial canthoplasty revision is difficult to perform when the scar is severe or there is a lot of redness.

The most common timing, and the timing that usually gives the best results, is about 6 months after canthoplasty.

People often ask how much scarring remains after medial canthoplasty revision.

In fact, canthoplasty revision is a much more complex and delicate procedure than medial canthoplasty itself,

so the scars tend to last a bit longer than after medial canthoplasty.

Usually, up to about 3 months, redness at the front may be noticeable.

Even so, if it is well managed with scar injections or oral medication,

most scars become barely noticeable after about 6 months.

Today, we took a detailed look at medial canthoplasty revision.

While revision is important, it seems even more important to make sure the initial surgery is done well so that revision is not needed in the first place.

We looked at medial canthoplasty revision surgery and how to avoid having to go through it by doing the surgery properly from the start.

Luho Plastic Surgery Clinic

Directions

4F, Sinsa M Tower, 616 Gangnam-daero, Gangnam-gu, Seoul

Consultation hours

Weekdays 10:00 AM - 7:00 PM

Saturday 10:00 AM - 5:00 PM

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. . .

#incisionaldoubleeyelidsurgery

#nonincisionaldoubleeyelid

#eyeplasticSurgery

#doubleeyelidsurgery

#buriedsuturemethod

#naturalfusionmethod

#LuhoplasticSurgery

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