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Understanding Epicanthoplasty Reversal Properly

MIHO Plastic Surgery · 미호성형외과의원 : 전문의 4인의 눈 코 바른성형 · October 18, 2025

Understanding Epicanthoplasty Reversal Properly The face is considered an important factor that determines a person's overall impression. Among its features, the eyes are where eac...

AI translation notice

This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: MIHO Plastic Surgery

Original post date: October 18, 2025

Translated at: August 17, 2026 at 7:20 PM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

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The face is considered an important factor

that determines a person's overall impression.

Among its features, the eyes are where each person's

individuality and emotions are revealed,

and they are also often the first area

people change when they want to alter their image.

In particular, more people these days admire

definite, well-balanced eyes,

so it is common to see people visit medical institutions

to create double eyelids

and even open up the inner corners of their eyes

by correcting the Mongolian folds.

However, not everyone achieves a satisfactory result.

Today, we will discuss

epicanthoplasty reversal,

which is useful for people who underwent

such procedures but were instead told

that they looked older than their age.

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When you look in the mirror, you can see a fold

that runs from the inner corner of the eye downward.

This is a feature commonly seen in East Asians

and is called a Mongolian fold.

The problem is that when this area is deeply folded,

there is a greater likelihood of being negatively judged—

for example, being teased for having narrow eyes,

having the space between the eyebrows appear wide,

or looking older than one's age.

To address this, many people have had the inner canthus

incised indiscriminately while creating double eyelids,

only to have the lacrimal lake become exposed

and scars develop, increasing their discomfort.

It is also common for people to consider

epicanthoplasty reversal while trying to improve

these problems, so caution is necessary.

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For people who have to live with

these various discomforts,

epicanthoplasty reversal

can naturally sound like welcome news.

It is also gaining attention as an option

that can address several problems at once.

It is particularly suitable for correcting

severely exposed lacrimal lakes

or the appearance of a narrow space between the eyebrows.

It can also be useful for correcting an unnatural inner canthus

or removing scars that have formed

around the inner and lower parts of the eyes.

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However, the procedure is not simple.

It begins with a careful analysis of the cause

of the problem, followed by designing

the appropriate location and other details.

The inner canthus is then incised

according to the plan that was established.

Afterward, the overall shape of the eye is examined,

and the area is sutured to correct it into the desired form.

This process is not usually performed

with beauty alone in mind.

It is carried out carefully while also considering

harmony with the entire face, including the nose and mouth.

In addition, ensuring that functional structures

such as the lacrimal glands are not damaged

is also the responsibility of the medical team.

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In particular,

epicanthoplasty reversal requires

preventing muscle adhesions in the highly elastic

Mongolian band and restoring overall balance,

so the skill of an experienced medical professional is essential.

It is also a precise procedure that restores

both the upper and lower skin layers as double flaps.

Therefore, a medical institution should not be chosen

based only on the lowest price

or flashy testimonials.

Since depressed scars and uneven,

step-like scars must also be thoroughly removed,

many people believe that the outcome depends

on which physician they meet.

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For this reason, it is necessary to deliberate carefully

about where to undergo the procedure

and which medical team to work with.

First, it is important to choose a medical institution

that has the equipment required for detailed examinations,

has a physician in residence at all times,

and is able to properly identify each person's problems

and suggest an individualized direction for improvement.

It is also necessary to check whether medical professionals

specializing in anesthesia are available

and whether a hygienic environment has been established

before making a decision.

In addition, checking whether real-time monitoring

is possible through a central monitoring system and CCTV,

and whether measures are in place for emergencies

such as excessive bleeding,

can also help increase the likelihood of a successful outcome.

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Recently, medical institutions that assign

medical professionals dedicated to each specialty

and provide close management from consultation

through post-correction follow-up

are also often rated highly.

When a medical institution has such a system in place,

it can clearly establish responsibility

if problems such as inflammation occur,

and it is also popular because it can provide

better aftercare services.

At the same time, it is useful to carefully check

whether the institution is capable of detecting

and addressing common abnormal symptoms,

such as bleeding and infection,

at an early stage.

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However, choosing the right medical institution

does not guarantee that every result will be good.

The individual's own efforts also have a significant effect

on the success of epicanthoplasty reversal.

First, if you have an underlying condition,

including high blood pressure or heart disease,

and are taking medication prescribed for it,

you should inform the medical team

and make arrangements such as stopping the medication,

as appropriate, to reduce the risk.

If you have previously undergone general or local anesthesia,

you should disclose this in advance.

In addition, from one week before the appointment,

you should stop drinking alcohol, smoking,

and using sleeping pills,

and refrain from consuming food and water

for six hours beforehand

to prepare for any unexpected circumstances.

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After correcting the eye shape through the procedure,

keep the wound approximately 20–30 degrees

higher than the heart to help reduce swelling.

At the same time, during the first three to five days,

repeat cold compresses using an ice pack.

After that, use warm compresses

to help with hemostasis and wound recovery.

In addition, be careful not to cry or rub the area

with your hands, as this could lead to a bacterial infection.

For about two weeks, avoid using contact lenses,

or be careful not to put pressure on the area between the eyebrows

when inserting them.

It is also advisable to avoid greasy foods,

smoking, and alcohol for four weeks.

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Typically,

epicanthoplasty reversal takes about one hour.

The entire procedure is performed after sleep anesthesia,

so hospitalization is not required.

Instead, it is generally sufficient to visit the institution

two or three times for treatment such as checking for inflammation

and changing dressings.

Recovery usually takes about one week,

after which daily activities are possible.

However, please remember that successfully improving

Mongolian folds and scars in this way

requires medical professionals with extensive experience and skill,

as well as a medical environment equipped with hygiene,

safety, and emergency response systems.

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