Epicanthoplasty

Epicanthoplasty is a cosmetic surgery designed to create a larger, more balanced eye shape. This procedure is commonly performed on individuals of Asian descent to correct epicanthal or Mongolian folds. These folds may cause the eyes to appear small, slanted (‘crossed’ eyes), or too far apart, particularly for those with low nasal bridges.

Epicanthoplasty is a surgical procedure that reshapes the inner corners of the eyes. This surgery works by removing the epicanthal fold, a pleat of skin that hoods over the inner eyes. This fold can make the eyes look droopy and even a tired-looking appearance. Epicanthoplasty is performed with the ‘redraping’ technique, which involves palpebral margin incisions to effectively eliminate the epicanthic fold with minimal scarring.

Epicanthoplasty is often done with other eyelid surgeries, like upper eyelid surgery and ptosis correction surgery, to further enhance and enlarge the eyes. This treatment can also improve eye symmetry and minimise the oblique palpebral fissure for a more defined, open-eyed look. Typically, the epicanthoplasty procedure itself takes approximately 30-60 minutes to complete on an outpatient basis.

For Oriental patients, epicanthoplasty is often performed to extend and expand the inner corner (epicanthus), creating wider, brighter, and more alert eyes. In addition, the procedure is sought by individuals with:

• Excessive or abnormally large epicanthal folds
• Asymmetric eyelids or uneven eye shape
• Narrow-looking eyes

To undergo epicanthoplasty, patients must be in good overall health with no pre-existing conditions that could hinder recovery. If you are a smoker, you will need to stop smoking at least three weeks before and three weeks after the procedure.

With epicanthoplasty, patients can attain a more open upper eyelid crease for improved cosmetic appeal, revealing more of the eye’s natural structures and subtly altering its proportions. If you are considering this treatment, you may first consult a certified plastic surgeon who can offer professional advice based on individual suitability.

There are two main types of epicanthoplasty, namely the medial epicanthoplasty and lateral epicanthoplasty.

Medial epicanthoplasty is performed on the inner corner of the eye (the side closer to the nose) to create a wider, more open, and straight-slanted appearance. In preparation for the procedure, the surgeon determines how many inner eyelid tissues need to be excised and then marks the area with a pen. Local anaesthesia is then administered around the eyes to eliminate painful sensations.

Afterwards, the surgeon will create small flaps through the incisions to reshape the inner eyelid and eliminate excess skin, tissue, and muscle. After successfully removing the epicanthal folds, the surgeon will use sutures to close the incision.

Aside from targeting the inner eye fold, the lateral epicanthoplasty procedure also addresses the outer corner of the eyes. This procedure is generally performed using the same techniques as medial epicanthoplasty, but the incisions are instead placed at the outer corner of the eye (conjunctival line).

The lateral epicanthoplasty enhances the side-to-side length of the eyes, improves their slant, and makes their appearance broader and more attractive.

Following the procedure, patients may experience mild swelling, bruising, and discomfort around the treated area. These reactions typically subside within a few weeks with over-the-counter pain medication and cold compresses. You can expect to fully recover and resume work or regular activities within two weeks.

Epicanthoplasty is a safe procedure with a high success rate in the hands of an experienced surgeon. However, just like any medical or cosmetic surgery, some possible risks and complications may occur, including:

• Infection
• Scarring
• Asymmetry
• Bleeding
• Dry Eyes

Though uncommon, these risks and complications can be discussed with a qualified surgeon. They can also address your questions about expected outcomes and recovery.