Can the Line Be Changed Because of an Epicanthoplasty Scar? How to Change It to an Outlined, Inline, or In-Out Line

One of the procedures often performed together with double eyelid surgery is epicanthoplasty.

The epicanthic fold, one of the characteristics of East Asians, can make the eye shape look relatively tight.

For a natural and balanced eye shape after double eyelid surgery,

in some cases, improving the epicanthic fold through epicanthoplasty may be helpful.

Epicanthoplasty is performed at the inner corner of the eye,

and this area is characterized by high skin tension and sensitivity.

Therefore, careful attention is needed during surgery, and even minor differences can leave a scar.

In addition, an accurate surgical plan and technique are important to prevent unnatural results.

Scars that can occur after epicanthoplasty are mainly caused during the surgical process

when too much skin is removed or the inner corner muscle is adjusted excessively.

At this time, if the incision is made without following the skin texture, a scar may remain.

In the early stage, it may look red and swollen,

but over time the scar can gradually change into a white, sunken shape.

Revision eyelid surgery (double-fold correction, sausage-eye improvement) + eye shape correction + dual corner surgery performed (1 year after surgery)

Epicanthoplasty scars can affect adjacent structures such as the double eyelid line or

the shape of the remaining epicanthic fold.

In particular, when the sunken scar is severe, the double eyelid line near the inner corner may not connect naturally,

and it can change into an out-line double eyelid that looks high and pronounced.

In such cases, many people try to adjust the line from an out-line to an in-line or in-out line.

In general, this kind of line change can be achieved through revision double eyelid surgery or corner surgery.

Incisional revision eyelid surgery + eye shape correction + epicanthoplasty scar reconstruction + dual corner surgery performed (6 months after surgery)

When the cause is an epicanthoplasty scar,

changing the line from an out-line to an in-line or in-out line is one of the more difficult surgeries.

If an out-line was formed due to an epicanthoplasty scar,

a procedure is needed to improve this scar and create a natural in-line or in-out-line double eyelid.

Unlike the eyelid, the inner corner of the eye lacks extra skin,

so it is a difficult area to improve scars and is challenging to correct.

In addition, even if epicanthoplasty scars look similar on the surface,

the internal shape of the sunken area is different in each case, so the condition must be identified accurately and corrected.

Source: TS Plastic Surgery website

Epicanthoplasty scar reconstruction is different from 'epicanthoplasty restoration,' which improves the 'shape' of excessive inner corner exposure or an overly round inner corner.

Scar reconstruction mainly aims to improve the sunken, depressed scar,

and is a procedure that relieves the depressed area by releasing adhesions in the scar tissue.

If only scar reconstruction surgery is performed, the amount of inner corner exposure or the distance between the two eyes does not change.

If correction of the distance between the eyes or the shape of the inner corner is needed,

epicanthoplasty restoration and scar reconstruction must be performed together.

Incisional eye shape correction + epicanthoplasty scar reconstruction performed (1 month after surgery)

In a case where epicanthoplasty restoration and reconstruction were performed at the same time,

after surgery the amount of inner corner exposure was greatly reduced,

and as the inner corner scar was reconstructed, the out-line that did not meet the double eyelid line at the inner corner

changed naturally into an in-out line.

Incisional eye shape correction, epicanthoplasty scar reconstruction, and dual corner surgery performed (2 months after surgery)

As a result of correcting the pointed inner corner of the eye and adjusting the amount of inner corner exposure through epicanthoplasty restoration surgery,

the scar at the inner corner was improved through scar reconstruction surgery.

It is important to choose the surgical method according to the purpose of the improvement,

and in many cases both restoration and scar reconstruction are needed at the same time.

In epicanthoplasty scar reconstruction surgery, it is important to remove the existing scar

while being careful not to create a new scar.

In addition, individual differences such as skin thickness, the location of the scar, and the shape of the wrinkles that form when closing the eyes must be considered for each patient,

and customized surgery tailored to these differences must be performed in order to effectively improve the scar.

Incisional revision eyelid surgery + incisional eye shape correction + upper eyelid fat repositioning + epicanthoplasty restoration performed (1 month after surgery)

The inner corner of the eye where epicanthoplasty is performed is an area with little excess skin,

so even small differences can greatly affect the surgical result, and many people come after having revision surgery multiple times.

It is ideal to perform the first surgery perfectly without side effects,

but if dissatisfaction with the shape or function arises after the first surgery and reconstruction or restoration is needed,

it is important to find an experienced medical team with a high level of understanding of the eye structure and anatomy

and proceed with surgery so that repeated revision surgeries do not become necessary in the future.

※ Depending on the individual, side effects such as inflammation, bleeding, and nerve damage may occur, so sufficient consultation with the medical team before surgery is necessary.