Should Double Eyelid Surgery and Epicanthoplasty Always Be Done Together? | Dr. Park Si-hyun's Answer

Should double eyelid surgery and epicanthoplasty always be done together?

│Dr. Park Si-hyun's answer

Hello.

This is Obje Plastic Surgery.

Among those who have been considering double eyelid surgery and have had consultations,

a lot of people end up worrying even more when epicanthoplasty is mentioned.

"Wouldn't double eyelid surgery alone be enough?"

"If I add epicanthoplasty, won't it look too much?"

"Will my impression change a lot if I do epicanthoplasty together?"

These kinds of questions naturally come up because the eye area can have a big impact on a person's impression even with small changes.

In fact, many people go into a consultation thinking only about double eyelid surgery,

then hear about epicanthoplasty and hesitate, thinking, 'Do I really need to go that far?'

So today, I want to calmly explain whether the reason people are advised to consider double eyelid surgery and epicanthoplasty together is simply to expand the surgical scope,

or whether there is a structural reason in the eyes that makes it worth examining both together.

If you read until the end, I hope it will help you judge for yourself whether you only need double eyelid surgery,

or whether your eye structure is one that would benefit from epicanthoplasty as well.

You had double eyelid surgery, but why does it still look cramped?

After double eyelid surgery, have you ever heard someone say, "It seems like the line has gradually become lower" or "the inner corners of the eyes look cramped"?

These changes are often not because the surgical result was wrong,

but because the structure at the inner corner of the eye was not sufficiently considered in how it affects line formation.

The epicanthal fold, which is common among East Asians, is a skin structure that covers the inner corner of the eye,

and it can affect how naturally the double eyelid line continues from the inner side of the eye.

Because double eyelid surgery creates a line by connecting the eyelid skin and internal tissue,

when the front part of the eye is covered, it can create the impression that the line starts from the middle of the eye.

In this kind of structure, even if the double eyelid initially looked clear,

it may later seem blurred at the inner side of the eye or feel like the line has become lower.

This is why double eyelid surgery and epicanthoplasty are mentioned together.

In the end, it is not about changing the eye shape excessively,

but about a structural decision to create a more stable starting point and flow for the double eyelid line.

You had double eyelid surgery, but something still felt lacking?

Some people feel that after double eyelid surgery, "The line is there, but my impression didn't change much"

or "My eyes don't look as clear as I expected."

In these cases, it is often not a problem with the height or shape of the double eyelid line,

but rather because the starting point and proportions of the eyes have remained the same.

The eyes are not a structure that simply becomes larger up and down,

but one where the overall impression changes depending on where the eye starts from at the front.

When only double eyelid surgery is performed, the line may appear from the middle of the eye, which can make the eyes look divided.

If epicanthoplasty is considered together, the starting point of the eye can be revealed more naturally, allowing the flow of the line to look more continuous.

Another reason double eyelid surgery and epicanthoplasty are mentioned together is

not so much to make the eyes bigger,

but as an option for adjusting the front and back of the eyes together and organizing the overall impression.

If you do double eyelid surgery and epicanthoplasty together, is it always better? What's the answer?

Of course not.

Every person has structural differences at the inner corner of the eye,

and the amount of usable space also differs.

Even if they look similar from the outside, if there is spare space hidden by the skin at the inner corner of the eye,

you can expect epicanthoplasty to make the eyes look longer and the impression more defined.

On the other hand, if there is almost no space at the inner corner of the eye,

forcing epicanthoplasty may not create much change or may even give an awkward impression.

Also, one situation often seen during consultations is when only double eyelid surgery was performed and

people feel that "the eyes look smaller" or "the sleepy-looking impression is still there."

This is often not because the surgery failed, but because the combination of procedures that suits the eyes was not fully considered.

So double eyelid surgery and epicanthoplasty is not a matter of "Should I do it or not?"

The key is whether it is a meaningful option for your eye structure.

Today, we talked about why people consider double eyelid surgery and epicanthoplasty together

from three perspectives: structure, changes in impression, and criteria for choosing.

To summarize, during a consultation,

✔ Where the double eyelid line starts to show

✔ How the starting point of the eye affects the impression

✔ Whether there is actually usable space at the inner corner of the eye

It is a good idea to check these three points together.

Dr. Park Si-hyun of Obje Plastic Surgery approaches double eyelid surgery not simply as a change in size,

but from the perspective of structural stability and continuity of the eyes,

and during consultations, carefully examines the eye shape, epicanthal fold, and the structure of the inner corner before explaining the surgical direction that suits each person.

By listening 충분히 to the patient's concerns and helping them make a decision without pushing unnecessary recommendations,

they have maintained high satisfaction overall with double eyelid and epicanthoplasty procedures.

We hope your careful consideration leads to a choice that you won't regret.

This has been Obje Plastic Surgery. Thank you.

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• This post is medical information written by Obje Plastic Surgery Clinic in compliance with the Medical Advertising Act.

• Results may vary depending on the individual, and side effects may occur. We recommend that you make a decision about the procedure only after 충분히 consulting with medical staff in advance.