what is epicanthal fold (Mongolian fold) ?

What is Mongolian folds? ( = Epicanthus, Epicanthal fold, Epicanthic fold)

A vertical fold of skin over the angle of the inner canthus of the eye. It may be slight or marked, covering the canthus and the caruncle. Also called epicanthus, epicanthal fold, epicanthic fold.

Epicanthic folds may be seen in young children of any ethnicity before the bridge of the nose begins to elevate. A Mongolian fold is a typical characteristic among North American Indian and Northeast Mongolian races. It often refers to a type of fold where the skin hangs down from the epicanthal region, which passes through the corner of your eyes and finally covers the inner canthus of your eye. Statistics show that most Koreans have Mongolian folds starting from the canthal area, covering the corner of the eyes in various ways. This can create a small and stuffy look of the eye and can worsen one’s impression. The weaker the Mongolian fold, the more refined your eyes’ impressions become. In some ethnicities, the presence of an epicanthic fold is associated with a less prominent upper eyelid crease, commonly termed "single eyelids" as opposed to "double eyelids". The two features are distinct, a person may have both epicanthic fold and upper eyelid crease, one or neither.

If there is no Mongolian fold in one’s eyes, it can be said that he or she has more dominant genes of other races than those of the North Mongolian race. It is a hereditary trait in Asian people and is of no clinical significance.

http://english.teuimps.co.kr

Teuim  Aesthetic plastic surgical clinic - Dr.Kwon

불완전 아웃라인 쌍꺼풀---매직앞트임과 눈매교정, 눈꺼풀 지방이식으로 개선한 사례

아웃라인쌍꺼풀은 몽고주름을 가진 동양인의 눈의 해부학적 구조상 모든 동양인의 눈에서 자연스럽게 표현 될 수 있는 것은 아닙니다.
눈의 조건에 따라 아웃라인이 자연스럽게 표현될 수 있는 경우 아웃라인쌍꺼풀을 시술하게됩니다.
위 사례의 경우 비교적 약한 몽고주름과 아웃라인이 어울리는 안와구조를 가지고 있는 경우입니다.
수술전 불완전한 주름형태의 아웃라인 쌍꺼풀이 있지만 일정하게 유지되지 못하고 겹주름이 있으면서 안검하수가 동반된 눈이었습니다.
매직앞트임으로 몽고주름을 개선하여 눈머리에서 선명한 하나의 아웃라인을 유지하도록 하였고 눈매교정과 눈꺼풀 지방이식으로 보다 선명한 눈빛을 갖도록 하였습니다.
몽고주름의 개선으로 눈머리까지 아이라인이 선명하게 이어지고 있는 것을 볼 수 있습니다.

매직앞트임, 눈매교정을 포함한 절개법 쌍꺼풀, 눈꺼풀 지방이식 수술을 받은 사례입니다.



Dr. 트임성형외과 권봉식

Vivideye(Non-incisional ptosis correction)

Non-Incisional Double eyelid Surgery with Ptosis Correction - VividEye surgery

(A new paradigm for ptosis correction, VividEye surgery)

1.What is blepharoptosis correction(corrective eyelid surgery)?

A recent study has revealed that nearly 68% of Korean women lack the double-eyelid feature, along with possessing the smallest eyes among all ethnic groups worldwide. Simply explained, the ptosis correction procedure produces an aesthetically clear improvement in eye shape and size.

Medically speaking, a blepharoptosis correction can be applied to strengthen the levator muscles required to increase the vertical exposure amount of the eye and visual clarity. However, the medical terminology ‘blepharoptosis’ is used more specifically to treat those who experience moderate to severe conditions involving actual eye functionality and performance.

The term ‘corrective eyelid surgery’ is more commonly used among those of Asian ethnicity seeking cosmetic improvements for brighter looking eyes. It is a relatively common occurrence in the Asian population to see cases where a patient’s upper eyelash or eyeline covers about 2-3mm of the upper corneal margin due to slight ptosis.

For those who lack strength in their eyes, conventional double eyelid surgery alone is no longer adequate in increasing the amount of its exposure, shape and size. Until now, undergoing ptosis correction to reinforce the function of the levator muscle, in conjunction with incisional double eyelid surgery, has produced the greatest possible cosmetic result. 

Example)Magic epicanthoplasty with incisional ptosis correction surgery

while incisional surgery was the only solution available in the past, the introduction of non-incisional ptosis correction (2010) will begin a new era of minimal-invasive procedures with no scarring and quick recovery time.  

Example) Magic epicanthoplasty with VividEye surgery

2.What is non-incisional ptosis correction?



VividEye surgery - Functional and structural non-incisional double eyelid surgery with ptosis correction



This new ptosis correction procedure was introduced in 2010, and just like its name, is performed without using any incisions.

Teuim Plastic Surgery Clinic has developed its own method to supplement double-eyelid surgery with the non-incisional ptosis correction procedure VividEye, which has been especially tuned for Korean or other similar ethnic groups to deliver the most aesthetically pleasing results.

VividEye, non-incisional double eyelid surgery with ptosis correction, bases its procedure with special consideration for the eye-opening power, eye shape and size unique to Korean or other ethnic groups similar to Korean individuals for the following reasons:

1. Caucasion individuals have a natural double eyelid feature because part of their levator muscle is connected to a piece of skin underneath the upper eyelid. Korean people, however, have several characteristics that prevent the formation of a double eyelid crease; the orbicularis muscle behind the upper eyelid skin is too thick, the orbital fat sags too low, or mostly importantly, there is too much tension in their Mongolian folds.

2. The orbicularis muscle surrounding the eye serves an important function of allowing individuals to close their eyelids. Korean people have more prominently developed orbicularis muscles, and have particularly thick fibrous bands in the inner corners of their eyes, creating the Mongolian folds. These folds make it difficult for eyes to open completely and also prevents the formation of double eyelid creases. Furthermore, while double eyelid creases lie along a horizontal vector of the eye, they are counteracted by the tension created by Mongolian folds, causing surgically created double eyelid creases to unravel. Korean people cannot be subject to the same methods of double eyelid surgery used on the caucasian people.

In other words, because the majority of Japanese people and south asian people are considered as Southern Mongoloids with weak tension in their orbicularis muscles, Korean people, catergorized as Northern Mongoloid, cannot be subject to the same surgical methods, because they would experience inconsistent results.

Taking into consideration the structural differences between Korean (Asians) and other races, the Teium Plastic Surgery Clinic has modified the surgical method and created VividEye to ensure the best possible results for those undergoing the eye procedure.



Who is eligible for VividEye?

1. Those who are eligible for non-incisional double eyelid surgery, but also suffer from mild ptosis.

In the past, all ptosis corrections have required the use of incisions, but VividEye provides both non-incisional double eyelid formation and non-incisional ptosis corrections.

2. Those who have natural double eye lids but drowsy looking eyes.

3. Those who have already undergone double eyelid surgery but wish to increase the vertical size of their eyes

4. Those who want minimal recovery time and a quick return to their normal routines avoiding incision method (The orbital fat was removed via stab incision)

5. Males who wish to increase the vertical size or exposure of their eyes without having heavily defined double eyelid creases.

6. Those who are unsatisfied with a previous incisional ptosis correction.

7. Those who do not want procedural scars, want bigger eyes, minimal or small double eyelids

8. Patient suffered from a severe degree of ptosis. A Magic epicanthoplasty with VividEye can correct these cases.

9. For making paralell (out-fold type) double eyelid, vivid eye surgery is helpful in some cases.

Things you should know

1. In order to avoid complications or unnecessary procedures, we recommend you to first come in and consult with us or send us photos if you are considering or indicated to VividEye.

2. Avoid touching or rubbing your eyes for three to four weeks due to the chance of loosening buried stitches.

3. Those who have undergone vision or laser eye corrective surgery should wait for about three months before electing to have VividEye.

Frequently Asked Questions

1. Am I eligible for VividEye if I suffer from a severe case of ptosis?

Severe cases of ptosis can be due to congenital reasons or levator dehiscence and can lead to unsatisfactory results from VividEye. This could be different the case of Muller type ptosis, no matter how severe. In any event, we recommend that you come in for a face to face consultation if you are considering VividEye.

2. Is it as simple as non-incisional double eyelid surgery?

VividEye is similar, but requires more surgery time as it is a bit more involved. Recovery time however, is similar to conventional non-incisional double eyelid surgery.

3. Will VividEye allow me to choose the height of the double eyelid crease?

Yes, you can choose where you wish to have your double eyelid crease to be located.

4. How much recovery time will I need after VividEye?

When undergoing incisional ptosis correction, it takes about two weeks for major surgical swelling to subside. However, you should expect to recover from major swelling in just a week after VividEye.

5. Do I need to worry about my double eyelid crease unraveling or becoming loose after surgery?

Even incisional double eyelid surgery with ptosis corrections carry some risk of becoming loose or unraveled after surgery, and VividEye has a similar potential. However, corrective or revisional surgeries in those cases are much easier and simpler for VividEye.

6. I am a male who is not interested in having the double eyelid crease, and do not want it to be obvious that I have had surgery. What can VividEye do for me?

One of the great advantages of VividEye is that it does not have strict requirements for males. Although VividEye cannot avoid the double eyelid crease completely, it can be minimized to be barely visible.

7. I have had incisional double eyelid surgery with ptosis correction in the past, but I am unsatisfied with the results. Instead of revisional surgery, should I just elect for VividEye?

In the absence of any major scarring or adhesions, we recommend that you come in for a consultation so that we can see what VividEye can do for you. 

http://english.teuimps.co.kr/

Teuim Aesthetic plastic surgical clinic - Dr.Kwon

consultation email : paris85@naver.com

쌍꺼풀재수술 트임 권봉식 원장

눈꺼풀은 매우 얇지만 그속에 여러가지조직이 복잡하게 구성되어있으며 눈을 뜨게 해주는 근육인 상안검거근은 보통 안검판에 부착되는데 일부의 근육섬유가 눈꺼풀 뒤쪽에 부착되면서 눈을 뜰때 부착된 부위의 피뷔가 위로 딸려 올라가면서 쌍꺼풀이 형성된다고 알려져있습니다.
동양인의 특징적인 눈은 쌍꺼풀이 없고 상하의 길이가 작고 쌍꺼풀 형성을 저해하는 긴장력을 가진 몽고주름으로 인해서 좌우길이도 좁아 보이는 모양으로 일반적인 서양인의 크고 시원한 눈에 비하면 상대적으로 답답하게 보이는것이 사실입니다.
이런 이유로 동양인들은 쌍꺼풀수술은 미용성형으로 바로 연상될 정도로 보편화 되어있으며 많이 하는 만큼 쌍꺼풀재수술 역시 만족스럽지 못한 결과로 인해서 많은 부분을 차지하고 있습니다.그동안 쌍꺼풀재수술을 집도 하면서 상태가 좋지 못해 재수술이 까다롭거나 심지어는 쌍꺼풀재수술이 불가능한 경우도 있었습니다.우선적으로 처음 수술을 신중하게 선택해야 하며 마지막 수술이 될 수 있도록 해야하며 재수술을 해야하는 경우 눈성형전문 클리닉에서 직접 평가하는 상담을 통해 수술후의 가능한 기대결과에 대하여 충분하게 대화해야합니다.
쌍꺼풀재수술의 경우 수술방법은 대부분 절개법을 이용해야하는 경우이고 간혹 매몰법으로 교정을 하는 경우도 있습니다.또한 수술후 경과나 조직상태에 따라 회복기간은 개인마다 차이가 있을 수 있습니다.





쌍꺼풀재수술 전후

<예>자연스럽지 못한 아웃폴더라인의 눈에 매직앞트임을 시술하여 눈머리 쌍꺼풀라인의 완성도를 높인경우

<예>쌍꺼풀재수술로 어색한라인의 눈머리를 개선한 사례

<예>매직앞트임과 쌍꺼풀재수술을 복합적으로 시술하여 쌍꺼풀라인과 눈매를 개선한 사례


울퉁불퉁하고 억지스럽게 꺽어진 쌍꺼풀라인을 어색하고 불편해보이는 느낌을 줍니다.
각각의 맞는 눈의 구조와 특성을 무시한채로 일률적인 쌍꺼풀을 디자인하고 섬세하지 못한 술기로 수술했던 경우로 어색하게 보이게된

원인을 찾아서 교정을 하면 몽고주름이 그원인일 경우가 많아서 매직앞트임과 쌍꺼풀재수술이 동시에 필요할 수 있습니다.

초기부터 속쌍꺼풀처럼 된경우 너무 낮게 걸린것이이므로 고객이 만족하지 못하는 경우는 교정을 하는것이 좋습니다.
쌍꺼풀높이는 알맞지만 피부쳐짐으로 인해 속쌍꺼풀이 된 경우는 절재법으로 피부절제를 하고 재수술을 해야하며 쳐진 눈꺼풀과 몽고주름이 심한 경우 흘러내린 피부속에 쌍꺼풀이 묻혀 버리게 되는데 선명한 쌍꺼풀라인을 생성하기 위해서는 쌍꺼풀과 매직앞트임을 함께 시술해야합니다.
그리고 함몰 타입의 눈이나 흘러내린 눈꺼풀 살이 많은 경우는 살이 쳐지면서 쌍꺼풀이 얇아지는 속도가 빠르므로 가급적 절개법으로 과잉피부를 절제해주는것이 효과적입니다.

M.epi and non-incisional ptosis correction

This patient obtained brighter and softer eyes after magic epicanthoplasty and non-incisional ptosis correction.

She had done ptosis correction at other clinic 2 years ago, but the result was disappointing.

Befor surgery, her mongolian fold was very tight so her epicanthic skin dragged down, making her head of Mongolian fold and inner corner of the eyes direct downward.

Her eyes look blurry due to the lack of pupil reveal and tilted inner corner.

Inner corner plastic surgery was added to Magic epicanthoplasty in order to recover inner eye lines as horizontal as possible.. Non-incision method was used to make vivid and smooth eye lines shaped like the curve of the half moon.

Her eyes are now more smooth and clear after ptosis correction and Magic epicanthoplasty which helped her eye opening power mucle rebalance.

Magic epicanthoplasty can be a great help for people who’s Mongolian fold have strong vertical tension.

Above case shows the effect of these magic epicanthoplasty and non-incisional ptosis correction combined together.

Teuim Aesthetic plastic surgical clinic - Dr.Kwon

E-mail : paris85@naver.com

Effects of fat injection

1. For eyes whose eyelids are depressed, they can look more natural by fat injection where the upper eyelid is sunken.(adding volume)

2.The eyes can be made to look younger than when the skin sinks in. 

3.For a double eyelid that looks too wide, it can be shortened with fat graft for a more natural look.

4.For eyelids that do not have enough fat, it is uncomfortable to open the eyes and they feel more tired. A fat injection can significantly improve this.

5.The fat injection of the eye is needed for more refined-looking eyes.

Maintenance of the effect.



Although the longevity of the effects of fat transplants differ throughout the body, it is very effective around the eyes. Therefore, microscopic transplanting around the eyes can make a permanent effect with only one operation. However, a second operation is quite common and it can often give customers more satisfaction.
Probably all women would like to look younger. Especially when the eyelids or the tails of eyes a hang down and have many wrinkles, it is hard to avoid hearing that you have aged from your peers. With age, double eyelids become looser or become smaller and eyelids may hang down, sometimes even causing eyelashes to prickle the eyes. In this case, a double eyelid has to be shaped again by excising tissues that cause it to hang down. Especially with women in their late 30s, aging comes from the upper eyelid. When the skin of the upper eyelid hangs down and covers the pupil, it looks unattractive. It is common for aged people to have difficulty in opening their eyes because the skin hangs down and it becomes worse with age, which can cause the vision to be distorted.