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The Effect of the Epicanthal Fold on Double Eyelid Surgery! Wink Plastic Surgery Explains

Wink Plastic Surgery · 예쁜 눈은, 윙크성형외과 · March 22, 2021

Why the epicanthal fold is important for double eyelid surgery! An epicanthal fold is the fold that covers the inner corner of the eye, or the medial canthus, and in Westerners, th...

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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: Wink Plastic Surgery

Original post date: March 22, 2021

Translated at: April 23, 2026 at 4:52 AM

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

Why the epicanthal fold is important for double eyelid surgery!

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The Effect of the Epicanthal Fold on Double Eyelid Surgery! Wink Plastic Surgery Explains image 2

An epicanthal fold is the fold that covers the inner corner of the eye, or the medial canthus, and in Westerners, this kind of eye structure is mostly hard to find.

The Effect of the Epicanthal Fold on Double Eyelid Surgery! Wink Plastic Surgery Explains image 3

It appeared in northern Mongoloid groups, who had to adapt to cold weather. To withstand such extreme cold, exposure of the eyeball had to be reduced, and the muscles that close the eyes developed, so Koreans, who belong to the Mongoloid race, developed a pronounced epicanthal fold.

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As a result, unlike in Westerners, the eyelids became thicker and tissue changes that removed the double eyelid caused the inner corner of the eye to be covered in various shapes and directions, making the epicanthal fold stand out more.

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A hook-shaped epicanthal fold can make the eyes look somewhat sharp and congested, and this can be improved to a fresher-looking eye shape through canthoplasty. It is also an important factor in double eyelid surgery: if the epicanthal fold is strong, the double eyelid shape may not be maintained well, or it may be difficult to create the desired double eyelid shape. In such cases, it can be improved through canthoplasty after consulting with a specialist.

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At Wink Plastic Surgery, epicanthoplasty is performed with enough consultation and design through rearrangement and excision to remove the epicanthal fold and widen the inner corner so that it is suitable for double eyelid formation.

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The chief director, Choi Seung-hyeop of Wink Plastic Surgery, personally handles everything from consultation to surgery and aftercare without proxy surgery, and does not recommend excessive or unnecessary procedures.

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The Effect of the Epicanthal Fold on Double Eyelid Surgery! Wink Plastic Surgery Explains image 10

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