If the inner corner of your eyes feels cramped, consider this instead of Mongolian fold removal

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"Doctor, my eyes look too far apart."

"The inner corners of my eyes feel tightly blocked, which makes them feel cramped."

When you look in the mirror, do your glabella area seem wide,

or does the inner corner of your eye feel round and blocked, making you feel bothered?

When we meet clients in the consultation room, many people are concerned less about the double eyelid line itself and more about this 'inner eye corner.'

In cases like this, people usually think they need an epicanthoplasty.

But opening it up more is not always the answer.

Today, I’ll honestly explain whether the Mongolian fold, often blamed as the main cause of a cramped-looking eye shape, really needs to be removed, and how to solve it to find a clear line that fits your eyes perfectly.

What exactly is the Mongolian fold?

If you have visited a plastic surgery clinic, you may have heard this term at least once: the 'Mongolian fold.'

The medical term is 'epicanthal fold.'

Simply put, it refers to the skin fold that covers the inner corner of the eye.

Illustration of Mongolian fold grades 0–4, Mongolian fold surgery, epicanthoplasty, Gangnam epicanthoplasty, MOOi Plastic Surgery

It is formed by the tension of muscles and ligaments inside the skin, so it is not actually abnormal.

It is a very natural feature found in 70–80% of East Asians.

However, when this fold is prominent, the horizontal length of the eyes can look shorter, and the space between the eyebrows can appear wider, giving the face a generally cramped impression.

The double eyelid line is determined by 'this'

"I want a dramatic outer line like a celebrity!"

Many people prefer a more open, extended outer line.

In fact, what determines where the double eyelid line begins is the shape of the Mongolian fold, even before the doctor’s technical skill comes into play.

That is because the amount of coverage the Mongolian fold has over the inner corner of the eye determines whether the result becomes an inline, in-out line, semi-out line, or out line.

Comparison photos of inline/in-out/out-line eyes. Double eyelid surgery line, eyelid surgery line, Gangnam double eyelid surgery, comparison of eyelid surgery lines, MOOi Plastic Surgery

If the Mongolian fold is severe and you force the line to be high, what happens?

You can end up with what is commonly called a "sausage eye," where the front is covered but only the back is high, or the line may become bent and look unnatural.

That is why, for beautiful double eyelids, the Mongolian fold must be examined carefully.

The key is not 'removal' but 'rearrangement'!

Here is a very important point.

Many people, and even some clinics, tend to think of the Mongolian fold as something that should be removed.

But what happens if you simply cut out the skin and get rid of it?

Disadvantages of Mongolian fold removal:

• The pink tissue inside the eye (caruncle) becomes fully visible, making the expression look harsher

• A sunken scar remains

• The eye shape becomes unnaturally sharp

The Mongolian fold is not a bump that needs to be removed; it is a normal structure of the eye.

That is why MOOi Plastic Surgery approaches it with the concept of rearrangement rather than removal, called Redraping.

(Image insert: before/after photos of Mongolian fold surgery)

Before and after Mongolian fold surgery, Mongolian fold improvement, Mongolian fold surgery review, inner eye corner surgery, epicanthoplasty, Gangnam Mongolian fold, Gangnam MOOi Plastic Surgery, MOOi Plastic Surgery

Rather than excessively cutting away skin, this method relaxes the tension of the muscles and ligaments pulling from the inside and gently smooths out the skin texture so it can settle naturally.

This way, you can achieve a refreshed look without worrying about scars, and without exposing too much of the pink inner tissue, while still keeping a result that looks naturally like your original eyes.

Frequently Asked Questions (FAQ)

Q. If I get epicanthoplasty, will it reattach later?

If the surgery is done properly, it will not reattach. However, if only the skin is cut, the inner muscle tension can create a tendency to return. That is why an 'internal correction' that clearly releases the adhesion of the muscles and ligaments must be performed together, so that a refreshed eye shape can be maintained without recurrence.

Q. My eyebrows are close together. If I get surgery, will my eyes look too close together?

If the distance between the eyebrows is narrow, excessive epicanthoplasty should be avoided. In such cases, it may be better to consider lower corner surgery instead of epicanthoplasty.

Q. I’m worried about scars.

This is the most common concern. Because the rearrangement method makes incisions and sutures along the natural crease pattern on the inner side of the eye, scars are hardly noticeable after recovery. However, results can vary depending on individual skin type, so it is best to follow the scar care instructions carefully.

To conclude

Eye surgery is not simply about making the eyes bigger. It is important to find the real cause of why your eyes look cramped, and to open them only by the appropriate amount that suits your facial balance.

I recommend choosing a clinic that carefully checks your eye condition, without overdoing it but with clear improvement, and consults you on the most suitable method.

MOOi

MOOi Plastic Surgery

Beauty like No Other

As the meaning of MOOi (無二), "one and only," suggests, MOOi Plastic Surgery designs a face that is uniquely yours—one of a kind in the world.

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This content was written directly by MOOi Plastic Surgery Clinic in compliance with Article 56, Paragraph 1 of the Medical Service Act for the purpose of delivering information about procedures and surgeries in an easy-to-understand way. Since all procedures/surgeries may vary from person to person and may cause side effects, we recommend consulting the attending medical staff before proceeding.