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Inner canthoplasty

Epicanthoplasty, also known as lateral canthoplasty, is a cosmetic procedure that enhances eye appearance by surgically adjusting the inner or outer corners of the eyes. The procedure is primarily categorized into two types: medial canthoplasty and lateral canthoplasty. Both involve incisions at the inner or outer eye corners to increase the horizontal length of the palpebral fissure, making the eyes appear larger and more expressive.

Treatment Effect

Treatment Results

Inner corner eye surgery is typically completed in a single session. As post-operative swelling gradually subsides, the appearance of the eyes will become increasingly natural. Generally, noticeable results can be observed within 1 to 3 months after surgery, with the eyes appearing significantly larger and more vibrant. The distance between the eyes may narrow, resulting in more harmonious overall facial proportions. In the long term, the results are relatively durable, although some degree of skin laxity may occur with aging.

Is this suitable for me?

Individuals suitable for medial epicanthoplasty include those with severe epicanthal folds that affect aesthetic appearance and visual field; those with excessively wide intercanthal distance who wish to shorten the distance between the eyes and improve facial proportions through surgery; and patients with congenital microphthalmia, who can improve their eye appearance by combining medial epicanthoplasty with other oculoplastic procedures. However, this surgery is not suitable for individuals with acute ocular inflammation, uncontrolled systemic diseases such as hypertension or diabetes, or those with a keloid-prone constitution.

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Choosing Equipment

Epicanthoplasty primarily relies on the surgeon's technical skills and generally does not require specialized large-scale equipment. However, some standard medical instruments, such as scalpels, suture needles, and forceps, are used during the procedure. Choosing a reputable medical institution ensures that the surgical instruments undergo strict sterilization and quality control, thereby reducing the risk of surgical infections.

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Selecting Equipment

Inner canthoplasty primarily relies on the surgeon's technical skills and generally does not require specialized large-scale equipment. However, some standard medical instruments, such as scalpels, suture needles, and forceps, are used during the procedure. Choosing a reputable medical institution ensures that the surgical instruments employed have undergone rigorous sterilization and quality control, thereby reducing risks such as surgical infections.

Price

Price

The cost of medial epicanthoplasty is influenced by various factors. Generally, the price at small aesthetic clinics ranges from approximately 420,000 to 840,000 KRW, while at large, reputable medical aesthetic hospitals, it can vary between 840,000 and 2,100,000 KRW. Prices in first-tier cities are typically higher than those in second- and third-tier cities. Additionally, a doctor's experience and reputation significantly impact the cost, with highly experienced and well-known doctors charging relatively higher fees.

Expected Outcome

Expected Outcomes

Patients should maintain realistic expectations regarding the results of medial epicanthoplasty. The procedure primarily aims to improve eye shape, making the eyes appear larger and brighter, but it cannot completely alter an individual's facial features. Surgical outcomes may vary depending on the patient's baseline eye conditions, the surgical technique used, and the postoperative recovery process. Before surgery, patients should communicate thoroughly with their doctor to understand the potential results and avoid unrealistic expectations.

Combination Therapy

Combined Treatment

Medial epicanthoplasty can be combined with various other eye plastic surgery procedures to achieve better aesthetic results. Common combination surgeries include double eyelid surgery; combining the two not only enlarges the eyes but also creates more defined double eyelid folds, making the eyes appear deeper and more captivating. It can also be performed together with lower eyelid retraction surgery to further expand the vertical and horizontal visual field of the eyes, giving them an innocent and lively appearance.

Adverse Effects and Complications

Side Effects and Complications

Medial epicanthoplasty may result in certain side effects and complications. In the early postoperative period, symptoms such as swelling, pain, and bruising may occur, which typically subside gradually within 1 to 2 weeks. More serious complications include infection, characterized by redness, swelling, warmth, and increased pain at the incision site; hypertrophic scarring, where noticeable scars may form at the inner corner of the eye, affecting aesthetics, with scars usually softening and fading over 3 to 6 months post-surgery; and bilateral asymmetry, which is related to the surgeon's technical skill and intraoperative design.

In addition to the aforementioned side effects such as swelling, pain, infection, hypertrophic scarring, and bilateral asymmetry, excessive exposure of the lacrimal caruncle may occur, leading to discomforts like dry eyes and photophobia. Furthermore, the surgery may potentially disrupt the normal anatomical structure of the medial canthus, affecting normal ocular function, although such cases are relatively rare.

Select Instrument

As previously mentioned, inner canthoplasty relies less on instruments. However, some medical institutions may use auxiliary devices, such as laser equipment, for hemostasis and incision during the procedure, offering the advantages of minimal trauma and reduced bleeding. When selecting these devices, ensure they are manufactured by reputable companies and possess relevant quality certifications and compliance certificates.

Project Contraindications

Contraindications

Contraindicated individuals include: those with eye inflammation, such as conjunctivitis or keratitis, who must wait until the inflammation is fully resolved before undergoing surgery; patients with severe systemic diseases, such as heart disease or impaired liver and kidney function, as surgery may exacerbate their condition or trigger other complications; individuals currently taking anticoagulant medications, which may lead to excessive bleeding during the procedure; and women during menstruation, pregnancy, or lactation, as these special physiological states may affect both general health and surgical outcomes.

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Project Contraindications

Contraindicated individuals include: those with eye inflammation, such as conjunctivitis or keratitis, who must wait until the inflammation is cured before undergoing surgery; those suffering from severe systemic diseases, such as heart disease or impaired liver and kidney function, as surgery may exacerbate the condition or trigger other complications; individuals currently taking anticoagulant medications, which may lead to excessive bleeding during surgery; and women during menstruation, pregnancy, or lactation, as their bodies are in special physiological states where surgery may affect overall health and surgical outcomes.

Side effects

Side Effects

In addition to the aforementioned side effects such as swelling, pain, infection, hypertrophic scarring, and bilateral asymmetry, excessive exposure of the lacrimal caruncle may occur, leading to discomforts like dry eyes and photophobia. Furthermore, the surgery may disrupt the normal anatomical structure of the inner canthus, affecting normal eye function, although this complication is relatively rare.

Self-Symptom Check

Symptom Self-Assessment

If you experience redness, swelling, heat, and severe, persistent pain at the surgical site after the procedure, it may indicate an infection. If the scar at the inner corner of the eye has not softened six months post-surgery and instead shows signs of worsening hypertrophy, it may suggest abnormal scar hyperplasia. If there is a noticeable difference in the size and shape of both eyes, it may indicate bilateral asymmetry. Should any of these abnormal symptoms occur, seek medical attention promptly.

Select treatment plan

Selecting a Treatment Plan

Doctors will develop personalized treatment plans based on the patient's eye conditions, personal needs, and desired outcomes. Common surgical methods for medial epicanthoplasty include the "Z" plasty and "V-Y" plasty techniques. The "Z" plasty is suitable for mild epicanthal folds, featuring relatively simple surgical procedures and inconspicuous postoperative scarring. The "V-Y" plasty is appropriate for moderate to severe epicanthal folds, offering more effective improvement of the condition, though it involves greater surgical trauma. Patients should communicate thoroughly with their doctors to understand the advantages and disadvantages of different options and choose the most suitable treatment plan.