How Should Double Eyelid Surgery Be Performed for Small, Narrow Eyes?

Let's take a look at how surgery is best performed for small, narrow eyes with short horizontal and vertical dimensions.

Hello, I am Choi Seung-hyeop, Director of Wink Plastic Surgery. Today’s topic is small, narrow eyes. In general, when people say “small, narrow eyes,” they usually mean eyes that appear somewhat sunken, with small eyeballs and short horizontal and vertical dimensions.

Revision eye surgery (incision) | Before surgery

Revision eye surgery (incision) | 1 month after surgery

When considering double eyelid surgery for these small, narrow eyes, it is a good idea to also consider expanding the horizontal length of the eyes. This means increasing the width of the eyes with medial canthoplasty and lateral canthoplasty. In other words, the vertically enlarged eyes created by double eyelid surgery should also be complemented so that they look longer horizontally.

Revision eye surgery (incision) | Before-and-after comparison

In the case of medial canthoplasty, the more epicanthal fold skin there is at the inner corner of the eye, the more effective it can be. It is best to determine the amount of widening by considering the distance between the eyes and the overall balance of the face.

Revision eye surgery (incision) + revision medial canthoplasty | Before surgery

Revision eye surgery (incision) + revision medial canthoplasty | 2 months after surgery

In the case of lateral canthoplasty, this is a method of opening up the outer corner of the eye, called the lateral canthus. The amount of widening is best decided after consulting with a specialist.

Revision eye surgery (incision) + revision medial canthoplasty | Before-and-after comparison

Overall, for small, narrow eyes with short horizontal and vertical dimensions, it is good to consider canthoplasty together with double eyelid surgery. In such cases, medial canthoplasty and lateral canthoplasty are usually effective. The amount of widening should be determined through consultation.

That concludes our look at small, narrow eyes.

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After plastic surgery, results and recovery may vary from person to person, and side effects such as bleeding, inflammation, and infection may occur. It is important to make sure you review information about side effects and the surgery itself. All photos were taken with the patient’s direct prior consent.