[Lari Plastic Surgery] Before and After: Revision Double Eyelid Surgery, Epicanthoplasty Restoration, Revision Canthoplasty, and Revision Under-Eye Fat Repositioning

When consulting with patients, we sometimes talk about the concerns they are having

and recommend several surgeries at the same time.

Then patients often ask:

Can all of these surgeries be done together?

Having multiple surgeries does not mean they cannot be done together, and having two surgeries does not automatically mean they can be done together.

This patient underwent revision double eyelid surgery, epicanthoplasty restoration, revision canthoplasty, and revision under-eye fat repositioning together.

People usually find it surprising to combine restoration surgery with canthoplasty, but these two procedures are actually more compatible than you might think.

When restoration is performed, it closes a previously opened area back to how it was before. If it is only closed, the eyes can feel smaller and may look cramped.

That is why, if canthoplasty is performed together, it can compensate for the tendency to make the eyes look smaller and tighter.

In that sense, these two surgeries work well together and can be performed at the same time.

The inner corner of the eye and the double eyelid are closely connected, so they are highly related. They are areas that have limitations in forming a shape without each other.

If the double eyelid line is raised without epicanthoplasty restoration, it may end up becoming an outer line instead of an in-line. So depending on the look the patient wants, they become mutually necessary and sufficient.

This patient underwent epicanthoplasty restoration, revision double eyelid surgery, and eye-opening correction surgery together.

By re-establishing the loosened double eyelid line while also correcting the muscles that open the eyes, the pupil that had been covered before surgery became clearly visible, resulting in bigger and more defined eyes.

The loosened double eyelid line appeared uneven in multiple lines when looking downward, but after surgery, you can see that a single clean line has been formed.

Another thing to check is whether the eyes close properly after surgery.

When eye-opening correction surgery is performed, the muscles are tightened, so temporary incomplete eye closure can occur.

There are individual differences, but after some time, the eyes naturally begin to close normally. (If you originally sleep with your eyes open or have naturally incomplete closure, the symptom may persist.)

Lowering the outer corner of the eye is a canthoplasty that lowers the eye corner toward the cheekbone. So when the apex of the eye corner moves downward at a diagonal angle, the under-eye area may bulge upward in many patients.

To prevent the under-eye area from becoming bulged after canthoplasty, under-eye fat repositioning is needed to partially remove and properly settle the fat beneath the eyes.

Because under-eye fat repositioning was performed together, even though the patient underwent lowering outer-corner canthoplasty, the under-eye area does not look bulged and instead appears smooth.

The surgery corrected the loosened line, corrected the hook-shaped scar in the epicanthoplasty area, performed lowering outer-corner canthoplasty so the eyes would not feel cramped after restoration, and also corrected the under-eye bulging that can occur after canthoplasty.

These are before-and-after photos showing eyes that became much cooler-looking, larger, and better suited to the eye shape than before.