Is it necessary to perform an epicanthoplasty (inner corner eye surgery) when doing a double eyelid procedure?

Dec 27, 2024 Source: Cainiu Health
Dr. Han Xuefeng
Introduction
Under normal circumstances, double eyelid surgery refers to blepharoplasty (creation of double eyelid folds). If a person has significant epicanthal folds, canthoplasty (inner corner opening) may be required; if the epicanthal folds are not obvious, canthoplasty is unnecessary. Blepharoplasty involves designing incisions at appropriate positions on the upper eyelids, removing part of the orbicularis oculi muscle and fat tissue, and attaching the eyelid skin to the tarsal plate at the desired height to form the double eyelid crease.

Generally speaking, double eyelid surgery refers to blepharoplasty. If a person has significant epicanthal folds, canthoplasty may be required; if the epicanthal folds are not obvious, canthoplasty may not be necessary. Blepharoplasty involves designing incisions at appropriate positions on the upper eyelids, removing part of the orbicularis oculi muscle, fat tissue, and attaching the eyelid skin to the tarsal plate at the desired height to create a double eyelid crease, thus shaping the double eyelid appearance. The general reference price for blepharoplasty is 1000–6000 yuan per session, with visible improvement typically seen 1–3 months after surgery, although symptoms such as swelling and pain may occur. Detailed explanations are as follows:

If a person has obvious epicanthal folds, meaning excessive skin at the inner corners of the eyes that obscures the normal shape of the eye corners, it may affect the outcome of the double eyelid surgery. In such cases, doctors may recommend simultaneous canthoplasty to improve the epicanthal folds, making the eyes appear larger and more expressive.

If the epicanthal folds are not prominent, undergoing blepharoplasty alone may achieve satisfactory results, and canthoplasty may not be necessary.

Prior to deciding on double eyelid or canthoplasty surgery, it is important to have thorough communication and consultation with your doctor to understand the risks, expected outcomes, and post-operative care. Additionally, it is essential to choose a reputable medical aesthetic hospital to ensure the safety and effectiveness of the surgery.

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