Checking When Epicanthoplasty Reversal Is Needed

The most prominent feature

among the elements that

create a good first impression

is the appearance of the eyes.

When looking at someone,

the eyes are often the first place

our gaze goes. Depending on

the shape and size of the eyes,

their width and form,

an unwanted strong individuality

can sometimes become more noticeable.

The eyes may create a cool,

sophisticated image,

or a kind and gentle impression.

However, some people experience

various inconveniences in daily life

because their appearance may give

the impression of being closed-off

or somewhat strong-willed,

leading to misunderstandings about

their personality.

To resolve these concerns and

create the appearance they want,

some people have a double-eyelid

line created. When the inner and

outer corners of the eyes appear

too closed, medial and lateral

canthoplasty may be performed

at the same time.

For this reason, the opposite situation

may also arise, in which epicanthoplasty

reversal is needed. It is important

to identify the circumstances that

require it and have the procedure

performed at the appropriate time.

People with monolids and no

double-eyelid crease often have

a relatively more closed appearance

of the lacrimal caruncle than others.

This is called an epicanthal fold.

The inner corner of the eye is not

only gathered as if it had been pinched,

but a hook-shaped fold also extends

downward from it.

The degree varies from person to person.

When planning eye correction,

this area may be opened and a crease

created to increase both the width

and size of the eyes.

When an incision must be made subtly

according to the individual situation,

but this is not performed appropriately,

epicanthoplasty reversal can be used

to correct the excessively incised area

and redesign it, addressing both

functional and aesthetic concerns.

The reason epicanthoplasty reversal

requires careful consideration is that

this area can scar easily.

In addition, when the area that was

opened is closed again to improve

redness and dry eyes caused by

excessive incision and an overly

exposed lacrimal caruncle,

it may become overcorrected.

This can make the appearance of the

eyes look unusual and unnatural,

which is also important to consider.

Taking aesthetics into account,

the width of the incision is subtly

readjusted to reopen an appropriate

amount of the inner corner.

This allows the front of the eye to

look natural while also concealing

the excessively exposed lacrimal caruncle.

Because both aspects must be addressed,

detailed planning and the surgeon’s

expertise are important.

A problem that can occur when

correction is performed incorrectly

is a change to an abnormal eye shape.

The inner corner of the eye should

gradually narrow toward the front

and finish with a certain degree

of pointedness. However, when it is

closed, the front may become blunt

and D-shaped, creating a situation

that looks worse than leaving it

uncorrected.

Even a slight difference that is

difficult to detect with the naked eye

can cause problems like this.

Because an incision has already been

made once, performing another procedure

without considering the extent of

internal damage and recovery can

only increase the burden. Therefore,

extreme caution is required.

Many people consider epicanthoplasty

reversal for aesthetic reasons.

However, it is difficult to determine

on your own how much the tissue in

this area has been damaged. Therefore,

it is necessary to understand the current

condition through a detailed examination,

if only to prevent further problems

from appearing.

Otherwise, the scar may become more

severe, leaving a prominent white mark

that bulges outward from the skin,

or a depression that is clearly visible.

There is also a possibility of symptoms

such as ligament damage.

For this reason, a double-flap technique

is used for the reversal procedure.

The double-flap technique is, as the

name suggests, a method of reconstructing

the flap in two layers: upper and lower.

It is used to perform a more delicate

and detailed correction. By considering

the condition of the skin tissue,

it helps close the eye area more precisely

within a range that does not damage

the surrounding eye tissue.

Because scars at the inner corner of

the eye are particularly noticeable,

the procedure must be planned with

both functional and aesthetic appearance

in mind, helping to prevent the need

for another revision.

The reason for first determining

whether epicanthoplasty reversal

is necessary is that the procedure

is difficult to perform. It is also

necessary to plan thoroughly in advance

for the subsequent course and the final

appearance after recovery.

To do this, it is especially important

to check whether an experienced surgeon

who has extensive experience with

these situations is available at the clinic.

A revision involves more factors

to consider than the first procedure

and is more difficult to approach.

Therefore, it is necessary to choose

a facility with extensive clinical

experience in this particular field.

Once an incision has been made,

adhesion or damage may occur in the area.

When performing a reversal, it is

especially important to understand

and know how to manage these factors.

Fine nerves run around the eyes,

and delicate facial-expression muscles

are located there. If a problem occurs,

not only may the appearance look unnatural,

but facial expressions may also become

subtly awkward, so caution is needed.

In some people, severe adhesion may

prevent the epicanthal fold from resolving

and may even make it more pronounced.

When the procedure is performed based

on an understanding of these muscles,

it is possible to approach the correction

in a way that helps prevent such symptoms.

If it is determined that reconstruction

is needed, you can make a decision after

properly confirming the appropriate timing.

The procedure may be performed after

a certain amount of time has passed

and the muscles around the eyes and

internal tissues have recovered to some extent.

However, the degree of recovery varies

from person to person. In some cases,

the area may be seriously damaged,

requiring observation over a sufficient

period before choosing the right time.

Depending on how much time has passed

since the first procedure, it may or may

not be possible to proceed immediately.

The first step is to confirm whether

the procedure can be performed.

It is fortunate when the initial procedure

performed to enlarge the eyes was done

properly. If it was not, epicanthoplasty

reversal can help move away from an

unnatural appearance and create a softer,

more natural impression.

Because even small differences can cause

particularly significant problems in

canthoplasty, both function and aesthetics

must be examined carefully when planning

the procedure. First, be sure to assess

the surgeon’s expertise. Also check what

kind of support or programs are provided

during recovery, and then make your decision

carefully.

Previous image Next image