[Duhan Plastic Surgery Double Eyelid Revision] - [Inner Corner Revision, Outer Corner Revision]

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Inner Corner Restoration Surgery

This refers to surgery performed to restore the eyes to their original shape after an inner corner canthoplasty was done even though it was not indicated, which instead made the person’s impression look worse.

Reasons for Inner Corner Restoration Surgery

If the inner corner was opened out of necessity, it is worth reconsidering whether inner corner restoration is needed. This occurs when the surgery is recommended unconditionally without considering the eye shape after surgery.

If inner corner canthoplasty is performed when it is not indicated, various problems can occur.

Problems that occur after unnecessary inner corner surgery

① The distance between the eyes becomes shorter than normal, making the eyes look close-set.

② If the inner eye corner is already sharp and inner corner canthoplasty is performed, the eye shape becomes sharper and the eyes appear more severe.

③ The mucous membrane at the inner corner of the eyes is excessively exposed, making it look unsightly.

④ After inner corner canthoplasty, the inner line becomes thicker, so if an in-fold line is desired, an unwanted out-fold line may result.

⑤ A double eyelid revision surgery was performed to reduce the inner line, but when combined with inner corner canthoplasty, the line does not decrease or becomes even larger.

Inner Corner Restoration Surgery Method

To restore the area in the opposite direction of inner corner canthoplasty, methods such as the V-Y advancement flap or Z-plasty are used. The method applied differs depending on the individual’s eye shape and the amount of available tissue.

Restoration surgery leaves more scars than inner corner canthoplasty, so this should be taken into account before surgery.

Example of Inner Corner Restoration Surgery

Before inner corner restoration surgery, it is important not to create the situation that leads to needing it. Having an inner corner procedure make the impression worse and then undergoing restoration surgery to reverse it wastes both money and time.

You should carefully judge whether it is truly a necessary surgery for you and decide accordingly.

Duhan Plastic Surgery Double Eyelid Revision Clinic’s Inner Corner Restoration Method

Based on more than 20 years of extensive clinical experience and know-how, if the inner corner has been excessively opened and restoration is desired, the procedure may be possible in one stage if the current double eyelids are natural and there is enough extra skin in the front area. However, if there is not enough extra skin and the double eyelids are awkward and overly large, staged reconstructive plastic surgery may be needed.

In general, if the thickness (width) of the double eyelid is around 6 mm or more, or if the fixation position of the double eyelid is very high, it may take a long time to become natural.

Reconstruction can be performed to match the shape of your own eyes.

It takes about 1 to 3 months for swelling to subside and for the result to settle.

Even if Mongolian fold reconstruction surgery is performed, it cannot be exactly the same as the old eye, and during reconstruction surgery the skin around the eyes must be gathered toward the eye area, so care must be taken to prevent scars from spreading downward on the inner side of the eye.

Scars do not remain because the inside of the skin is sutured.

Outer Corner Restoration

These days, side effects from outer corner surgery at other clinics are frequently reported.

Outer corner surgery, unlike inner corner surgery, refers to surgery that opens the outer side of the eye.

Outer corner surgery can cause various side effects such as mucous membrane exposure, eyelid eversion, a severe-looking eye shape, and significant scarring.

The incidence of side effects from outer corner surgery is over 90%, and it is a procedure that can create irreversible, serious complications, so caution is required.

Types of Outer Corner Side Effects

□ Eyelid eversion and lifting

□ Distorted scar at the outer corner of the eye

□ Mucous membrane exposure and eyelid sagging

□ Excessive exposure of the white of the eye below

□ Deformation of the eye shape and distortion of the outer canthus

□ Dry eye and tearing

Examples of Surgery for Side Effects from Outer Corner Procedures at Other Clinics

The outer corner photos below are image materials from people who came to our clinic to highlight the seriousness of outer corner surgery side effects, or from people who came for surgery after having undergone outer corner surgery at other clinics.

Outer corner surgery should only be performed safely by an experienced specialist on eyes that are likely to benefit from the procedure.

Duhan Plastic Surgery’s Outer Corner Restoration Method

The outer corner procedure at Duhan Plastic Surgery Double Eyelid Revision Clinic has recently received attention because it addresses the drawback of reattachment, a common side effect of existing outer corner procedures.

Because the tissue that tends to reattach is sufficiently removed through skin dissection, it does not reattach again, and from the inner conjunctiva of the eye to the ligament-fascial layer, muscle layer, and skin layer, the procedure is carefully sutured according to anatomical structure.

Because the skin and mucous membrane are sutured separately, it does not form a D-shape, and there is no concern about reattachment.

Also, unlike other clinics, it is not performed with only a skin incision; it is securely fixed to the periosteum so it does not come undone,

and it is a safe procedure that also allows for later restoration.

The sutured area is naturally hidden along the eye corner line to minimize visible scarring, and thanks to more than 20 years of extensive know-how in double eyelid revision surgery, the delicate and precise suturing leaves almost no scar.

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