[Real Patient Case Review] Incisional Double Eyelid, Epicanthoplasty

#DoubleEyelid #IncisionalDoubleEyelid #PtosisCorrection #Epicanthoplasty #EyeSurgery #GangnamEyeRevision #UberPS #SeoSeungJo #ShimJungHwan #GangnamEpicanthoplasty #GangnamEyeSurgery #DermalAdhesion #LateralCanthoplasty #LowerCanthoplasty

​

​

Hello~

💎your beauty universe! This is Dr. Shim Jung-hwan from Uber Plastic Surgery :)💎

Today, I would like to review a case involving incisional double eyelid surgery and epicanthoplasty.

​

Before Surgery

​

The patient is in her early 30s and visited us with concerns about her stuffy and heavy-looking eyes.

The skin above her eyes was significantly sagging and covering her eyelids,

and she had severely developed epicanthal folds.

Although the sagging skin covered a large portion of her pupils,

her actual eye-opening muscle strength was not weak, presenting what we call pseudoptosis.

​

Consultation and Surgical Process

The patient initially came in considering a non-incisional method for a natural-looking in-line double eyelid.

However, because her skin was quite saggy, if we set the line too low,

the overlapping skin from above would cause the fold to loosen quickly.

Conversely, if we set the line too high, the skin sagging below the line would be severe,

resulting in an unnatural and unappealing double eyelid shape.

Therefore, I recommended the incisional method,

and suggested that slightly raising the line to an in-out fold would be better than a low in-line.

Since her skin and muscles were somewhat thick, there would be some initial swelling,

but by slightly reinforcing the eye-opening strength using a 3-point fixation method when securing the line,

she could achieve clear, defined eyes without needing aggressive ptosis correction.

​

Regarding the epicanthoplasty, she had a lot of excess skin from the epicanthal folds,

which extended far downwards.

This area needed to be properly addressed to eliminate the stuffy appearance.

Since she didn't want the inner corners to be too sharp and preferred a natural look,

I performed the epicanthoplasty with a design that left a slight amount of tissue.

Because she wanted a natural line, the inner corner where the line begins

was designed with an incision that allowed it to be slightly covered.

​

The overall sagging and overlapping skin was planned for partial excision,

with a slightly larger amount removed from the left side.

​

Post-Operative Progress

On the 7th day when the stitches were removed, there was a fair amount of initial swelling,

and the epicanthoplasty looked somewhat under-corrected due to scar tissue.

However, in the 2-month progress photo, you can observe that her eyes look refreshing with an appropriate fold thickness and inner corner opening.

The wide distance between her eyes and the stuffy appearance caused by the developed epicanthal folds

have significantly improved, removing the blocked feeling

. Additionally, thanks to the appropriate double eyelid height and skin

excision, even without separate ptosis correction,

the pupils are adequately exposed, creating the effect of vertically enlarged eyes.

As the remaining minor swelling continues to subside over the next 3-4 months,

the fold will look slightly thinner, resulting in a natural yet larger eye shape.

​

If you are curious about more information or wish to see more cases,

please contact Uber Plastic Surgery via KakaoTalk consultation, and we will guide you in detail.

​

Want a quick consultation?

​

​

Frequently Asked Questions

In what cases is incisional double eyelid surgery recommended?

Yes, incisional double eyelid surgery is recommended when there is a lot of sagging eyelid skin or when the skin and muscles are thick. This is because non-incisional methods may result in the line easily loosening or making it difficult to create a beautiful shape.

Can a natural line be created during epicanthoplasty?

Yes, it is possible. A natural line can be created by adjusting the design according to the patient's epicanthal fold shape and desired extent. The procedure can be performed with a design that leaves a slight margin to avoid a too-sharp look.

How long does swelling last after incisional double eyelid surgery?

There may be swelling in the initial period after surgery, and you can see a significant reduction in swelling around 2 months after stitch removal. The remaining minor swelling will continue to subside over the next 3-4 months, completing the natural eye shape.

Can eyes become clearer without ptosis correction?

Yes, it is possible. In this case, by slightly strengthening the power to open the eyes with a 3-point fixation method when fixing the incisional double eyelid line, a clear eye shape could be achieved without strong ptosis correction. Appropriate skin excision also helps.

Can pseudoptosis be improved with incisional double eyelid surgery?

Yes, it can be improved. In cases of pseudoptosis, where the power to open the eyes is not weak but sagging skin covers the pupil, making the eyes look stuffy, incisional surgery with appropriate skin excision can improve pupil exposure and create a refreshed eye shape.