The double eyelid

What is double eyelid surgery?

Although the eyelid is very thin, various tissues (skin, muscle, fat, eyelahes, the conjunctiva) are composed in it. The elevator muscles are the ones that help open the eyes and it is usually attached to the eyelid board. The parts of the muscle tissues are attached to the back of the skin of the eyelid and the skin attached is raised, then a double eyelid is made.
For most Westerners, parts of the elevator muscle of the upper eyelid are attached to the back skin, While for Asians, it is not and the natural double eyelid is rare. Typical Asian eyes have no double eyelid, but a small height with strong tension of Mongolian folds. So this makes the eyes look stuffy compared with the eyes of the Westerner’s eyes.
There are three general methods, the complete incision method (incision), partly cutting (partial incision), and cutting for only the needle to enter(buried suture method). From any among them, we must connect a part of the elevator muscle of the upper eyelid to the eyelid. There are merits and demerits respectively and it should be determined by enough consultation through considering the length and size of the eyes, thickness of the skin, power to open eyes, quantity of fat, Mongolian folds and so on. Recently, the complex operation, Magic epicanthoplasty combined with double eyelid surgery, dramatically improves the Mongolian folds and connects the eyelid with the levator muscle of the upper eyelid. This must be the fundamental step for plastic surgery of the eyes. If considering the correlation between the Mongolian fold and the double eyelid, it can make effective and dramatic results. 

Examples) Structural double eyelid surgery combined with the Magic epicanthoplasty and double eyelid surgery

Anatomical elements when forming a double eyelid

The principles when forming a double eyelid is determined by whether the muscle pulling up eyelid is raised by holding skin at the same time. For Westerners, the muscle raising the eyelid holds the skin and the skin is raised as they open their eyes and forms a double eyelid.

While for Asians, most have no connection between the muscle and the skin and also, the thick fat and the muscle raising the skin is blocked. Therefore, a double eyelid operation creates not only this connection, but also eliminates the Mongolian fold, muscle, or the fat of eyes and finally creates beautiful eyes. 

Structural factors for a beautiful eyelid are needed when :

>The width of the eyes is long and the tails of the eyes are not so pointed upwards.

>The distance between the eyes and eyebrow is not to be short.

>The skin of the eyelid is tense and not hung down.

>The eyelid skin is thin

>Proper amount of fat exists but not too much.

>There’s no severe existence of the Mongolian fold.

>The function of the muscle to open the eyes is normal and the exposure of pupil is good.

>Both eyes are symmetric

>The position of the eyebrow is not hung down and is symmetric.

* In cases where a lot of these conditions are satisfied, the operation can give you very good results without any difficulties. But actually, most of cases are not like that. If you don’t meet any or only a few of these conditions, there may be a chance that undesirable results may be shown.

Functional meaning of a double eyelid in respect of having a field of vision

A single eyelid of Asians is likely to cover a pupil and when it is severe, eyelashes can prickle the pupil and it can cause visual obstructions. And because of this, patients take the forehead lifting actions, but this in fact causes wrinkled forehead to appear. In this case, a double eyelid incision removing parts of an eyelid and forming a double eyelid and extending exposure or pupil, will brighten the patients’ vision.
Therefore, a double eyelid has an important effect to create a better vision as the basic function of the eyes. After the operation the eyes are expressed as more clear and bright.

Examples) An excisional double eyelid surgery has an important effect on providing a better vision (exposure of pupil)

 Examples) Cases showing depressed type of dark circle treated by dual plane fat graft.

 Examples) Forming an inner type of double eyelid and increased exposure of pupil by ptosis correction and a double eyelid surgery. After surgery, the position of eyebrow previously lifted has been brought down significantly.

Examples) Forming an parallel type of double eyelid and increased exposure of pupil by ptosis correction and double eyelid surgery.

Teuims complex enlargement surgery.

If your eyes are small, or if you are a person who wants to extend and enlarge your eyes, a complex operation with the Magic epicanthoplasty, lateral canthoplasty, eye enlargement and an extension of the height of your eyes can help your eyes dramatically.

Examples) Magic epicanthoplasty combined with an excisional double eyelid surgery and lateral canthoplasty

Examples) Magic epicanthoplasty combined with an excisional double eyelid surgery and lateral canthoplasty

 Teuim  Aesthetic plastic surgical clinic - Dr.Kwon

 http://english.teuimps.co.kr

 

Epicanthoplasty < teuim clinic in Korea >

Dr.kwon's epicanthoplasty























A Mongolian fold, which is a physical characteristic of the Northeast Asian Mongoloid races, is the thick skin that droops down, connecting the upper eyelid with the lower eyelid. Epicanthoplasty is the name of the operation that removes Mongolian folds that cover the inner corner of your eyes, so that your eyes look more opened and become more refined and bigger.

For those who have a wide distance between eyes or has small eyes, or looks severe because of inclination of the inner corner of your eyes by a Mongolian fold, then epicanthoplasty is necessary.

When it is performed with a double eyelid surgery at the same time, the actual horizontal length of eyes can be extended and the interepicanthal distance will also be narrowed. After all, attractive and refined double eyelids will be created by improvement of the Mongolian folds.

Magic epicanthoplasty(Kwon’s method) is a unique method of surgery in removing Mongolian folds, and is the surgery to be first founded by Teuim plastic surgery in 2004.

Unlike conventional methods, Magic epicanthoplasty primarily releases the tension band and leads to the redistribution of the eyelid skin naturally without the removal of the skin while maintaining the original anatomical relationships.
Therefore, it is a completely new technique first made by Dr. Bongsik Kwon. This method is called the Magic epicanthoplasty. With good reports and reputations by people who have already undertaken this, it is becoming a term that is commonly used in Korea and in many other countries.
Also, it is even used among many other surgeons as a term for their operation methods of simulative epicanthoplasties. To perform Magic epicanthoplasty, a surgeon needs plentiful experiences and extreme carefulness to create optimal results. Teuim plastic surgery have more than 10000 cases of magic epicanthoplasty alone or combined double eyelid surgeries.

Magic epicanthoplasty converting negative opinions from         conventional methods

 It can be surely said that when the problem of Mongolian folds are properly solved, the expression of the eyes changes into clear and beautiful looking eyes in many aesthetic aspects.

"I usually hear that I glare at people too much." "My eyes look stuffy even after taking the double eyelid surgery" "People say my eyes look gathered in, but an eye specialist says "I'm not a squint." "I have small eyes but want them to be wider and bigger."

These are probably the main complaints from the people who have severe 'Mongolian folds'. However, many women always have hesitated to take epicanthoplasty because of some supposedly “negative reputations” and permanent scars. When a scar is deep, it cannot be concealed even on top of make-up.

This also can be a serious concern. Also, almost conventional methods of epicanthoplasty have carried prejudice and negative reputations until now. If beautiful double eyelids were achieved with a very minimal scar, no one would hesitate.

Through high satisfaction and reliance by people who already underwent this surgery, the Magic epicanthoplasty has changed recognition of epicanthoplasty positively.

We believe that the Magic epicanthoplasty operated in Teuim plastic surgery can help people who want to have a wide and beautiful expression of eyes.

Examples) scarless magic epicanthoplasty

Magic epicanthoplasty as a new paradigm in double eyelid surgery

It is generally said among plastic surgeons that there is no more difficult surgery than the double eyelid operations. The most difficult problem for a plastic surgeon has been that every eye could not be expressed beautiful under various conditions by only the conventional or pre-existing methods.

Many studies about the Mongolian fold and its solution have not been properly suggested, and the results of the surgeries were mostly determined by confined conditions of eyes themselves. No more than 4-5 years ago, many hospitals did not perform epicanthoplasty and the reason for this was that there was no ideal method to eliminate Mongolian folds aesthetically.

The Mongolian fold is a characteristic of the Northeast Mongoliod races which makes the distance of between eyes looks longer than its actual distance and forms small, stuffy or unfavorable eyes. Good candidates of eyelid surgery are determined by the degree of the Mongolian folds.

An important key is that taking surgery on the eyes without properly managing the Mongolian folds causes unfavorable lines or can be a critical reason for getting your double eyelids to fade away. In fact, most of the problems after double eyelid surgery are caused by the tension of the remaining Mongolian folds.

Considering all things, Mongolian folds have been an important key, but it had not been operated properly because of its scar or undesirable results. Most women say "I want to have beautiful and clear eyes", or "I want to have bigger eyes after surgery" during surgery consultations.

However, a person who has severe Mongolian folds, small eyes and a wide interepicanthal distance, taking only double eyelid surgery itself, can result in a devastating appearance and also a strange feeling by the skin remaining and covering over the epicanthal region. In case of non severe Mongolian folds, the double eyelid surgery alone can possibly make relatively desirable and favorable lines, but only an in-folder type of double eyelid line will appear after all.

If one has severe Mongolian folds, it should be considered that epicanthoplasty creates a clearer and well-defined double eyelid line by exposing the hidden part of the eye when it is performed with double eyelid surgery at the same time.

Now, through the foundation of the Magic epicanthoplasty, it is becoming unnecessary to hesitate when considering an epicanthoplasty, Recently, with the universal utility of epicanthoplasty and Magic epicanthoplasty plus double eyelid operations, these two combined methods tend to be the firm basic concept for the plastic surgery of the eyes.
Considering the relationship of a Mongolian fold and a double eyelid, these combined surgeries can generate a perfect plan and create dramatic results.

Examples) Magic epicanthoplasty combined with a double eyelid surgery in a patient having severe Mongolian folds

The aesthetic effect of the Magic epicanthoplasty

1.The extension of the width of eyes (possible to extend 3mm depending on the Mongolian fold) Through exposure of the corner part of the eyes, the eyes look more clear and prominent.

2.By restoring the intercanthal distance, the impression changes from stuffy images to clear images.

3.The asymmetry of the eyes caused by the difference of the Mongolian fold is improved

4.Exposing white part of eyes in the inner corner of your eyes makes the pupil look like it’s in the middle. This makes the eyes look much more refined (improvement for a condition of pseudostrabismus, pseudoestropia)

5.By removing the epicanthal folds inclined in the inner corner of the eyes, the overall inclination of the eye turned out much more reduced.

6.Reinforcing effect of Magic epicanthoplasty over love-bands(a thickened portion on lower eyelid margin). They become prominent after Magic epicanthoplasty even without any procedure.

7. Epicanthal folds can cause formation of fine wrinkles and pigmentations under the eyes. Magic epicanthoplasty has an effect on these phenomena by releasing tensions at the head of eye region

8.When a double eyelid is accompanied with a epicanthal fold, it shows an in-folder line, because the medial line is faded and covered by the Mongolian fold. After Magic epicanthoplasty, the shapes have changed to in-out- or out-folder types of double eyelid.

9.Unnatural out-folder lines and acutely bended double eyelid lines which were caused by epicanthal folds were improved. 

10.Improvement of eyelash prickling.

11.Improvement for dark circles may be visible. This ancillary effect can be achieved by releasing the tension of a epicanthal fold to a lower lid.

12.A more comfortable eye image is expressed by rotating the inner corner of the eye (eyeline of lower eyelid) horizontally. 

13.Isotropic lacrimal orifice (accessory lacrimal opening) can be removed by Magic epicanthoplasty 

After Magic epicanthoplasty, wouldn’t I really have to worry about a remaining scar? Do I have to take care of it?

Most people generally worry about a remainder of a scar. Conventional surgeries may leave you with a scar after the removal of severe Mongolian folds. In that case, a deep scar may remain and there is a chance that it will not disappear quickly.

On the other hand, in case of our Magic epicanthoplasty, the surgical incision is situated in a hidden place and is not visible. Of course it can’t be 100% assured that no scar will be left at all because this is an operation requiring surgical incision. However, it can be insisted that there is hardly social stress from patients by a severe scar. If there is a scar, it will be close to being invisible after 2 to 3 months. The slight scars may be covered by make-up of glasses frames, but there’s no need to worry about them because they do not last too long.

If a scar still remains after the surgery undertaken previously from another clinic, a steroid injection or a laser treatment is performed for easing the scar. And medicines should be taken if the case is severe. But when one takes the original magic epicanthoplasty from Teuim plastic surgery, there would be no additional treatment procedure and no mental stress from a scar. 

dr.kwon teuim clinic  http://english.teuimps.co.kr

Dr.kwon's Epicanthoplasty (teuim clinic)

Dr.kwon's Epicanthoplasty (teuim clinic)

Magic epicanthoplasty converting negative opinions from         conventional methods

It can be surely said that when the problem of Mongolian folds are properly solved, the expression of the eyes changes into clear and beautiful looking eyes in many aesthetic aspects.

"I usually hear that I glare at people too much." "My eyes look stuffy even after taking the double eyelid surgery" "People say my eyes look gathered in, but an eye specialist says "I'm not a squint." "I have small eyes but want them to be wider and bigger."

These are probably the main complaints from the people who have severe 'Mongolian folds'. However, many women always have hesitated to take epicanthoplasty because of some supposedly “negative reputations” and permanent scars. When a scar is deep, it cannot be concealed even on top of make-up.

This also can be a serious concern. Also, almost conventional methods of epicanthoplasty have carried prejudice and negative reputations until now. If beautiful double eyelids were achieved with a very minimal scar, no one would hesitate.

Through high satisfaction and reliance by people who already underwent this surgery, the Magic epicanthoplasty has changed recognition of epicanthoplasty positively.

We believe that the Magic epicanthoplasty operated in Teuim plastic surgery can help people who want to have a wide and beautiful expression of eyes.

Examples) scarless magic epicanthoplasty

Magic epicanthoplasty as a new paradigm in double eyelid surgery

It is generally said among plastic surgeons that there is no more difficult surgery than the double eyelid operations. The most difficult problem for a plastic surgeon has been that every eye could not be expressed beautiful under various conditions by only the conventional or pre-existing methods.

Many studies about the Mongolian fold and its solution have not been properly suggested, and the results of the surgeries were mostly determined by confined conditions of eyes themselves. No more than 4-5 years ago, many hospitals did not perform epicanthoplasty and the reason for this was that there was no ideal method to eliminate Mongolian folds aesthetically.

The Mongolian fold is a characteristic of the Northeast Mongoliod races which makes the distance of between eyes looks longer than its actual distance and forms small, stuffy or unfavorable eyes. Good candidates of eyelid surgery are determined by the degree of the Mongolian folds.

An important key is that taking surgery on the eyes without properly managing the Mongolian folds causes unfavorable lines or can be a critical reason for getting your double eyelids to fade away. In fact, most of the problems after double eyelid surgery are caused by the tension of the remaining Mongolian folds.

Considering all things, Mongolian folds have been an important key, but it had not been operated properly because of its scar or undesirable results. Most women say "I want to have beautiful and clear eyes", or "I want to have bigger eyes after surgery" during surgery consultations.

However, a person who has severe Mongolian folds, small eyes and a wide interepicanthal distance, taking only double eyelid surgery itself, can result in a devastating appearance and also a strange feeling by the skin remaining and covering over the epicanthal region. In case of non severe Mongolian folds, the double eyelid surgery alone can possibly make relatively desirable and favorable lines, but only an in-folder type of double eyelid line will appear after all.

If one has severe Mongolian folds, it should be considered that epicanthoplasty creates a clearer and well-defined double eyelid line by exposing the hidden part of the eye when it is performed with double eyelid surgery at the same time.

Now, through the foundation of the Magic epicanthoplasty, it is becoming unnecessary to hesitate when considering an epicanthoplasty, Recently, with the universal utility of epicanthoplasty and Magic epicanthoplasty plus double eyelid operations, these two combined methods tend to be the firm basic concept for the plastic surgery of the eyes.
Considering the relationship of a Mongolian fold and a double eyelid, these combined surgeries can generate a perfect plan and create dramatic results.

Examples) Magic epicanthoplasty combined with a double eyelid surgery in a patient having severe Mongolian folds

Examples) Magic epicanthoplasty combined with a revisional double eyelid surgery in a patient having severe Mongolian folds. 

Would it be right to only take the Magic epicanthoplasty, or should I have to take it with the double eyelid surgery?

Although Magic epicanthoplasty and double eyelid surgery require different procedures and are both different surgeries but, undertaking both can give you great results. You must be noted that the heads of your eyes have Mongolian folds so the eyelid forming a double eyelid is a continuous unit of skin.

Magic epicanthoplasty can be also performed either to the innate double eyelid or to the surgically made double eyelid. In this case, partial correction of the line near the epicanthal angle(corner) can be required to expose the double eyelid more clearly

. Magic epicanthoplasty is also possible to be performed on a single eyelid, and if needed, the double eyelid operation can be done later. However, in most cases of a single eyelid, these two combined surgeries are recommended.

Magic epicanthoplasty is a definite method that can make the effective lengthening of eyes in a horizontal plane. Considering the relationship between Mongolian folds and double eye lids, these two combined procedures can be a better choice to express dramatic results.

Examples) A case showing awkward double eyelid lines when only undertaken an out-folder type double eyelid surgery without epicanthoplasty previously.
Magic epicanthoplasty combined with partial correction of inner double eyelid line can create high completion of continuous line at the inner corner region. 

 Examples) Magic epicanthoplasty combined with non-incisional double eyelid surgery resulting in parallel line.

 Examples) A case showing asymmetric and faded double eyelid lines when only undertaken an in-folder type double eyelid surgery without epicanthoplasty previously.
Magic epicanthoplasty combined with revisional double eyelid surgery can create high completion of continuous line at the inner corner region.

Examples) Magic epicanthoplastycombined with a revisional double eyelid surgery in a patient having severe Mongolian folds. 

Is Magic epicanthoplasty different from the conventional operations in terms of its effects?

Currently existing other surgeries are operated by various methods such as simple excision (Hiraga's method) and the z-plasty. However, they all belong to the same category in that the surgeons eliminate a partial skin of the Mogolian fold and suture each side. As a result, a scar after surgery may remain and there was limitation in surgical effect. When the Mongolian fold is severe, the surgical line also becomes larger, and a scar can be easily detected.

Magic epicanthoplasty(Kwon's method), through the careful study of the Mongolian fold, is a new concept of surgery that releases the tension and leads the soft tissue to be redistributed spontaneously by itself without further surgical manipulations. In the respect of the effects and reuslts, it can extend the width up to 3mm each eye (if one has severe degree of Mongolian folds,) and can also lengthen the inner corner of your eyes with exposing your double eyelid line.

A great advantage of Magic epicanthoplasty is that the scar is not remained on the region sutured. Besides, this operation is not a method of excision. It is rather accomplished by rearranging the soft tissue without a surgical excision, so there is no worry to feel drawn back and tensed around the remaining scar. That is, of course, a scar is necessarily made by a suture tension but, the problem of a scar was solved through considering the tension of skin asmuch as possible. 

What are the differences between Magic epicanthoplasty and existing surgeries in detail?

	Pre-existing epicanthoplasties	Magic epicanthoplasty
Effective of extending the width of eyes	small	Large. Possible to fix
Change of expression of eyes	Gives a fierce impression to eyes	Gives a natural impression to eyes
Scar on the inner corner of eyes	Remains	Does NOT remain
Effective for the poke of eyelashes	No	Improved
Effective for lovebands (skin under eyes)	No	Sometimes
Effective for a more distinct double eyelid line	No	Yes
Effective for fine wrinkles under eyes	No	Yes
Effective for dark circle	No	Yes
Management after surgery	Needed	Not needed
Ease the tension of Mongolian folds	No	Yes

Characteristics of the Magic epicanthoplasty

In Magic epicanthoplasty, surgical region is not visible and it is hidden, so a scar is hardly seen after removal of the stitches. The scars are not visible after 5 days of the removal of stitches

With a new concept that’s different from the existing methods, it is unnecessary to worry about a scar. In conventional methods, a scar lasts longer and the permanent scar will be unavoidable. However, Magic epicanthoplasty, is not a method by excision and suturing the skin, but a method incision and rearranging the soft tissue and skin by itself which can create natural looking eyes

After the Magic epicanthoplasty, it is unnecessary to worry about your eyes becoming sharper or pointing downward. In Teuim plastic surgery, we perform it by making the corner of your eyes direct in a comfortable horizontal angle, with the consideration of the overall inclination of eyes.

Extreme carefulness and operational skills are needed to operate the surgery. We must prudently consider the proper skin tension condition of a patient at surgery. We do not perform the same operation to all patients. We must consider the shapes of the double eyelid line or expression of eyes a person wants to obtain. The correlation between the nose and eyes, direction and severity of Mongolian folds are applied for the most proper method to the individual's eyes to make best result as the mostsuitable way for the patient. That is why the surgery takes roughly an hour.

http://english.teuimps.co.kr/ 

Teuim  Aesthetic plastic surgical clinic dr.kwon

Double Eyelid Surgery 트임성형외과 쌍꺼풀수술

Double Eyelid Surgery 트임성형외과 쌍꺼풀수술

teuim clinic

쌍꺼풀 수술이란?

눈동자의 아래부분은 하안검에 걸쳐 있으면서 위쪽은 1-2mm정도 가려지는 것이 적당합니다. 검은 눈동자가 좌우의 흰자 중앙에 위치하여야 조화롭고 이상적인 형태입니눈꺼풀은 매우 얇지만 속에는 여러 가지 조직(피부, 근육, 지방, 안검판, 결막등)으로 복잡하게 구성되어 있습니다. 눈을 뜨게 해주는 근육인 상안검거근은 보통 안검판에 부착되는데 일부의 근육섬유가 눈꺼풀 피부 뒤쪽에 부착되면 눈을 뜰 때 부착된 부위의 피부가 위로 딸려 올라가면서 쌍꺼풀이 형성된다고 알려져 있습니다.

대부분의 서양인에서는 상안검거근의 일부분이 피부 뒤에 부착되지만 동양인에서는 그렇지 못하기 때문에 쌍꺼풀이 자연적으로 있는 경우가 적습니다. 동양인의 특징적인 눈은 쌍꺼풀이 없고 상하의 길이가 작고 쌍꺼풀 형성을 저해하는 긴장력을 가진 몽고주름으로 인해 옆으로도 좁아 보이는 모양으로 일반적인 서양인의 크고 시원한 눈에 비하면 상대적으로 답답하게 보이는 것이 사실입니다.

이런 이유로 동양에서는 쌍꺼풀 수술은 미용 성형 수술하면 바로 연상 될 정도로 보편화되었으며 수술방법에 대한 연구가 활발하며 방법 또한 다양합니다. 일반적으로 사용하는 방법은 수술 부위를 완전히 절개하는 방법(절개법)과 작은 절개를 통해 수술하는 방법(부분절개법), 그리고 바늘이 들어갈 정도만 절개하는 방법(매몰법)이 있습니다. 어느 방법이나 상안검거근의 일부를 눈꺼풀 피부에 연결 시켜 주는 과정이며 각각의 장단 점이 있으므로 눈의 상태에 따라 적절히 선택하여야 합니다. 환자 눈의 길이, 크기, 피부 두께, 눈 뜨는 힘, 눈꺼풀의 늘어짐, 지방의 양, 몽고주름 등 여러 가지 조건과 풀릴 가능성 등을 고려하여 성형외과 전문의와 상담하여 결정하여야 합니다.

최근에는 앞트임의 보편화로 몽고주름을 개선하고, 눈꺼풀 피부와 상안검거근을 적절히 연결해 주는 매직앞트임 + 쌍꺼풀 복합 시술이 눈성형 수술의 기본이 되어가는 추세입니다. 몽고주름과 쌍꺼풀의 상관관계를 고려한다면 동시에 시술받는 것이 더욱 조화로운 수술계획과 드라마틱한 수술결과를 나타낼 것입니다. 

<매직 앞트임 + 쌍꺼풀 구조적 복합 수술(Structural duble eyeld surgery)>

<예>매직 앞트임과 쌍꺼풀 라인 교정술로 심한 인폴더라인을 약한 아웃폴더라인으로 변화시킨 사례

<예> 몽고주름이 개선되지 않은 불완전 아웃 라인을 매직 앞트임과 쌍거풀 수술로 개선한 경우

<예>인폴더 쌍꺼풀 라인을 매직앞트임으로 인-아웃 폴더 쌍꺼풀로 개선한 사례





인폴더 쌍꺼풀이 작아지는 이유

일반적으로 모든 쌍꺼풀은 시간이 지나면서 폭이 점점 작아집니다. 한가지 예외가 있다면 몽고주름이 약하면서 눈꺼풀의 지방이 작고 꺼져 들어가는 경우입니다. 몽고주름이 어느 정도 이상 있는 사람에게서 인폴드로 수술하면 작아지는 속도가 더 빠릅니다. 몽고주름이 쌍꺼풀 위의 피부와 연결되어서 깜박거릴 때마다 몽고주름이 쌍꺼풀 위의 피부를 내려오게 하기 때문입니다. 쌍꺼풀이 작아지지 않으려면 몽고주름을 매직 앞트임으로 해결한 후 인아웃 중간이나 아웃으로 하는 것이 좋습니다.


인폴더, 인아웃폴더, 아웃폴더를 결정짓는 몽고주름과 매직 앞트임과의 관계
몽고주름을 기준으로 눈 머리의 라인이 몽고주름 안으로 덮혀서 사라지면 인폴드이고 몽고주름 위로 올라가면 아웃폴드입니다. 대개 인아웃 폴더나 서양인과 같은 자연스런 주름형태의 아웃폴드를 얻기 위해서는 반드시 충분한 앞트임을 통해 몽고 주름을 교정해주어야 합니다. 서양인보다 코에 비해 눈이 함몰되지 못하고 몽고주름이 많은 편인 한국인에게는 아웃폴드가 구조적으로나 수술 기법상 잘 되지 않거나 어울리지 않는 경우도 있는 반면에 인아웃 중간은 몽고주름을 제거하면서 비교적 자연스런 라인을 얻을 수 있어서 많이 권하고 있습니다. 쌍꺼풀 수술 시 앞트임을 해야만 하는지로 고민하는 분들이 많습니다. 눈머리의 쌍꺼풀 라인은 몽고주름에 의해 결정되므로 적절한 앞트임을 동반 시술해야만 자연스러운 인아웃, 아웃라인을 얻을 수 있습니다.

<예>몽고주름을 개선하여 인폴더 라인에서 인아웃폴더로 교정한 사례

<예>몽고주름을 개선하면서 쌍꺼풀재수술로 아웃폴더라인을 형성한 사례

쌍꺼풀의 높이

쌍꺼풀이 높다고 눈이 크고 예쁘게 보이는 것은 아닙니다. 사람마다 가지는 피부의 두께나 지방, 주위 구조가 다르기 때문에 자신에게 맞는 쌍꺼풀의 높이 또한 다른 것입니다. 자신의 눈에 적합한 범위에서 쌍꺼풀을 결정해야만 선명하고 커 보이는 눈이 되는 것입니다. 붓기가 다 빠지고 자연스러운 눈을 갖는 데 있어 가장 중요한 요인이 쌍꺼풀의 높이에 달려있는데 부적절하게 높은 쌍꺼풀은 부기가 오래가고 눈 뜨는 기능을 방해하여 졸린 눈이 될 수 있습니다. 같은 폭의 쌍꺼풀을 만들기 위한 도안이 각각의 경우마다 다를 수 있으므로 도안 시 정확한 평가와 피부상태와 길이의 반복적인 측정으로 오차를 줄여야만 합니다. 

Teuim  Aesthetic plastic surgical clinic - Dr.Kwon

http://english.teuimps.co.kr

What is epicanthoplasty -teuim clinic dr.kwon

What is epicanthoplasty - teuim clinic dr.kwon

A Mongolian fold, which is a physical characteristic of the Northeast Asian Mongoloid races, is the thick skin that droops down, connecting the upper eyelid with the lower eyelid. Epicanthoplasty is the name of the operation that removes Mongolian folds that cover the inner corner of your eyes, so that your eyes look more opened and become more refined and bigger.

For those who have a wide distance between eyes or has small eyes, or looks severe because of inclination of the inner corner of your eyes by a Mongolian fold, then epicanthoplasty is necessary.

When it is performed with a double eyelid surgery at the same time, the actual horizontal length of eyes can be extended and the interepicanthal distance will also be narrowed. After all, attractive and refined double eyelids will be created by improvement of the Mongolian folds.

After Magic epicanthoplasty, wouldn’t I really have to worry about a remaining scar? Do I have to take care of it?

Most people generally worry about a remainder of a scar. Conventional surgeries may leave you with a scar after the removal of severe Mongolian folds. In that case, a deep scar may remain and there is a chance that it will not disappear quickly.

On the other hand, in case of our Magic epicanthoplasty, the surgical incision is situated in a hidden place and is not visible. Of course it can’t be 100% assured that no scar will be left at all because this is an operation requiring surgical incision. However, it can be insisted that there is hardly social stress from patients by a severe scar. If there is a scar, it will be close to being invisible after 2 to 3 months. The slight scars may be covered by make-up of glasses frames, but there’s no need to worry about them because they do not last too long.

If a scar still remains after the surgery undertaken previously from another clinic, a steroid injection or a laser treatment is performed for easing the scar. And medicines should be taken if the case is severe. But when one takes the original magic epicanthoplasty from Teuim plastic surgery, there would be no additional treatment procedure and no mental stress from a scar. 

Magic epicanthoplasty has an aim not only to remove the epicanthal fold (make the eyes look larger and obtain a more distinct eyeline) but also to make the eyes morizontal. That is, a person who wants to have a nice looking eyeline (as in the shape of a semicircle,) has to consider epicanthoplasty after confirming the existence of Mongolian folds of his/her own eyes. 

Examples) Result after the Magic epicanthoplasty. This is a case of a average interepicanthal distance

Won’t the expression of my eyes look more severe after the Magic epicanthoplasty?

There is a red flesh, called a caruncle of eye, hidden inside of the Mongolian folds. For Westerners, most of these parts are exposed, while it is mainly covered in Asians. Considering the overall shapes of eyes, it is better to be exposed harmoniously.

To make big and beautiful eyes, red flesh of the inner corner of the eyes should be exposed. The inner eyes of most celebrities’ are exposed and they have weak Mongolian folds. Shapes of the red flesh and the inner corner of the eyes are different in everyone so the degree or direction of the exposure must be considered and observed carefully before the surgery. 

Teuim  Aesthetic plastic surgical clinic - Dr.Kwon