The epicanthal fold, which appears like a hook at the inner corner of the eye, is a major cause of eyes looking more heavy or closed off.
As a primary way to address this epicanthal fold, inner corner surgery can be considered.
However, inner corner surgery may not be suitable for every eye shape.
For example, it may be difficult in cases where the distance between the eyebrows is close or where the lacrimal caruncle is already sufficiently visible.
For those dealing with these concerns, the recommended corner-opening procedures are
Combined inner corner surgery and in-place corner surgery.
So, let’s take a look at what combined inner corner surgery and in-place corner surgery are.
Combined inner corner surgery _ This is our clinic’s own surgical method for naturally removing the epicanthal fold without performing much inner corner opening in cases where the epicanthal fold needs to be removed but the inner corner cannot be opened much.
Combined inner corner surgery began at our clinic in November 2014 and was filed for trademark registration in October 2015.
With our clinic’s specialized technical expertise and strong aesthetic sense, it helps complete eyes that are natural and satisfying for patients.
In-place corner surgery _ This refers to cases among combined inner corner surgery procedures where the epicanthal fold is removed without performing any inner corner opening at all.
If you do not want any inner corner opening, the epicanthal fold is removed while ensuring that no inner corner opening is performed.
Let’s check the importance of the epicanthal fold through photos.


This is the appearance before epicanthal fold removal.
It may be a common pre-op photo of an epicanthal fold, but if you want to remove the heavy-looking epicanthal fold
and no longer want further inner corner opening,
combined inner corner surgery and in-place corner surgery are used so that only the epicanthal fold band is removed.
You can also check the explanations of in-place corner surgery and combined inner corner surgery through photos.

This is a case that underwent in-place corner surgery, showing natural improvement of only the epicanthal fold without inner corner opening.

This is a combined inner corner surgery case performed together with eye surgery.
By removing the epicanthal fold along with a slight inner corner opening through combined inner corner surgery,
the effect of the eye surgery is maximized, resulting in a more open and defined eye shape.
Are in-place corner surgery and combined inner corner surgery procedures only for removing the epicanthal fold?
No.
In-place corner surgery and combined inner corner surgery may be necessary to create a prettier double eyelid or when inner corner opening is difficult.

In the case of the patient above, combined inner corner surgery was performed along with 1-point double eyelid surgery,
changing the existing double eyelid line.
Along with epicanthal fold removal, the double eyelid line changed, making the eyes look more defined than before.

In the case of the patient above, inner corner opening was difficult, so combined inner corner revision surgery and in-place corner revision surgery can be performed.
If the distance between the eyes is naturally close, or if inner corner opening has already been performed but the epicanthal fold remains,
the epicanthal fold is removed without any further inner corner opening.
Inner corner surgery performed to remove the epicanthal fold,
there are precautions that must be known before proceeding.
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The cases of the patients above are examples of inner corner surgery previously performed at another hospital.
This may be an example of how awkward removal of the epicanthal fold can make the fold appear even more severe.
Even though the inner corner opening was excessive, you can see that the epicanthal fold became worse.
If you want only a small amount of inner corner opening, or if you want to remove the epicanthal fold without inner corner opening, please consider in-place corner surgery or combined inner corner surgery.
Since inner corner surgery may not be suitable for every eye,
if you want a diagnosis of which inner corner surgery method is appropriate for your eyes, please visit a clinic specializing in corner-opening surgery and eye surgery and receive a thorough consultation with a plastic surgery specialist.




