Do You Really Need Epicanthoplasty? Essential Checklist Before Your First Eye Surgery | Epicanthoplasty Side Effects·Cost

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Do you have to get epicanthoplasty together with double eyelid surgery?

This is one of the most common questions from people coming in for their first eye surgery consultation.

Many people get confused because different clinics recommend different things.

To get straight to the point, epicanthoplasty is not a must.

However, if your eyes need epicanthoplasty, satisfaction after surgery can be much higher.

The problem is that once epicanthoplasty is done, it is difficult to reverse.

That is why the first surgery requires even more careful decision-making.

Today, we will organize everything at once, including when epicanthoplasty is needed, when it should be avoided, epicanthoplasty side effects and scars, and the cost.

What kind of surgery is epicanthoplasty?

Epicanthoplasty is a surgery that opens the epicanthal fold covering the inner corner of the eye to increase the horizontal length of the eyes.

In East Asians, including Koreans, the epicanthal fold is often well developed.

If this fold covers the inner corner of the eye, the eyes can look cramped,

and can give the impression that the eyes are far apart.

After epicanthoplasty, the hidden inner corner of the eye becomes visible, creating a clearer, more open-looking effect.

3 cases where epicanthoplasty may be needed

Epicanthoplasty is not necessary for everyone.

If any of the cases below apply to you, it may be worth considering.

▸ When you want a longer, more open-looking eye shape

If the horizontal length of the eyes is short and they look especially round,

epicanthoplasty can widen the eyes horizontally and create a more refreshing impression.

▸ When the eyes appear far apart

If the space between the eyes looks wide, the face may appear flat or dazed.

By revealing the inner corner of the eye through epicanthoplasty, the distance between the eyes can appear closer.

▸ When the epicanthal fold is severe and the inner corner of the eye looks cramped

Most people without a natural double eyelid have an epicanthal fold covering the inner corner of the eye.

In such cases, creating only a double eyelid may still make the front part look cramped,

so combining it with epicanthoplasty can result in a much more open-looking eye shape.

When epicanthoplasty should be avoided

On the other hand, there are eyes for which epicanthoplasty should not be done.

If surgery is performed in such cases, it can actually look unnatural.

• When the eyes are already close together

If the space between the eyebrows is already narrow and epicanthoplasty is added, the eyes can look too close together.

In such cases, it is better to consider canthoplasty or eye shape correction instead of epicanthoplasty.

• When the pink tissue at the inner corner of the eye is already highly visible

If epicanthoplasty is performed, the pink tissue at the inner corner may become even more exposed, making the eyes look overly opened.

This can sometimes create an awkward or sharp impression.

• When the epicanthal fold is almost absent

If there is no area to create the opening effect, surgery may bring almost no change and could leave only a scar.

Epicanthoplasty side effects: these problems can happen if it is done wrong

If surgery is performed on eyes that do not need epicanthoplasty,

or if the surgery is not done properly, side effects can occur.

• Eyes that look too close together

If epicanthoplasty is done too aggressively, the distance between the eyes becomes too narrow, making them look overly close.

This is not easy to reverse, so it is important to open only the appropriate amount from the beginning.

• Excessive exposure of the pink tissue at the inner corner

If too much of the pink tissue at the inner corner of the eye is exposed, the eyes can look artificial and may give a sharper impression.

• Epicanthoplasty scar issues

With standard epicanthoplasty methods, scars may remain as long vertical lines above and below.

In severe cases, a sunken scar may also form.

• D-shaped deformity

This is a side effect in which the inner corner of the eye becomes deformed into a D shape.

In many cases, even revision surgery to restore the area is not completely able to correct it.

Epicanthoplasty scars can be minimized

Many people worry about epicanthoplasty scars.

Standard epicanthoplasty involves cutting and repositioning the skin, so some degree of scarring is inevitable.

However, more recent techniques gently dissect only the epicanthal fold area to minimize epicanthoplasty scars.

This type of method can reduce the possibility of side effects such as long vertical scars, sunken scars, or D-shaped deformities.

Results can vary depending on the surgical method,

so it is important to check exactly how the epicanthoplasty will be performed during the consultation.

How much does epicanthoplasty cost?

The price of epicanthoplasty varies depending on the surgical method, the clinic, and whether it is performed together with double eyelid surgery or eye shape correction.

In general, epicanthoplasty is often performed together with double eyelid surgery rather than as a standalone procedure,

and in that case, the epicanthoplasty cost is usually included as an additional surgical item.

The exact cost of epicanthoplasty depends on the individual eye condition and the extent of the surgery,

so the most accurate way to find out is during the consultation.

Frequently Asked Questions About Epicanthoplasty (FAQ)

Q. Can the eyes look more open with double eyelid surgery alone without epicanthoplasty?

If the epicanthal fold is not severe, double eyelid surgery alone may be enough to make the eyes look more open.

However, if the epicanthal fold covers the inner corner of the eye significantly, double eyelid surgery alone may still make the front part look cramped,

so in those cases, it is better to combine it with epicanthoplasty.

Q. Are epicanthoplasty scars very noticeable?

Because the surgical area is on the inner corner of the eye, it is not very noticeable from the front.

There may be redness in the beginning, but it gradually fades over time.

However, there are differences depending on the individual, so it is best to follow the scar care instructions carefully.

Q. How long is the recovery period after epicanthoplasty?

Stitches are usually removed after about 7 to 10 days, and major swelling or bruising improves within 1 to 2 weeks.

Although it varies by individual, it may take about 3 to 6 months for the area to become fully natural.

Q. Can epicanthoplasty and canthoplasty be done together?

Yes, they are often done together.

When both the inner and outer corners are opened at the same time, the horizontal length increases significantly, creating a more open-looking eye shape.

However, doing too much of either can make the result look unnatural, so it is important to keep within an appropriate amount.

Q. Is the cost of epicanthoplasty included in double eyelid surgery?

It depends on the clinic, but generally the cost of epicanthoplasty is often priced separately from double eyelid surgery.

The exact price of epicanthoplasty is provided after checking the eye condition during the consultation.

Q. If epicanthoplasty is done wrong, can it be reversed?

It is possible, but not easy.

Revision surgery for epicanthoplasty is highly difficult, and it is hard to return the area completely to its original state.

That is why it is important to decide carefully from the beginning and have the procedure done at a place with extensive experience.

To summarize

Epicanthoplasty is not essential in first-time eye surgery.

If the eyes are short horizontally, appear far apart, or have a severe epicanthal fold,

satisfaction may be higher when the procedure is done appropriately.

On the other hand, if the eyes are already close together or the pink tissue at the inner corner is highly visible, it is better to avoid epicanthoplasty.

Epicanthoplasty is a procedure that is difficult to reverse once done.

Rather than thinking, “I’ll just do it first and it will probably look better,” it is important to first check whether it is truly needed for your eyes,

and then make a decision after consultation at a reliable clinic with extensive epicanthoplasty experience.

If you are considering epicanthoplasty in Gangnam, check accurately at Muui Plastic Surgery whether it is the right procedure for your eyes.

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