It can be surely said that when the problem of epicanthal folds are properly solved, the expression of the eyes changes into clear and beautiful looking eyes in 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 'epicanthal folds'. However, many women 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 may be a serious concern. So far, most conventional methods of epicanthoplasty have carried prejudice and negative reputations. If beautiful double eyelids were achieved with a very minimal scar, no one would hesitate.
Through consistent results and high satisfaction by people who already underwent devolutional Asian eyelidplasty, the magic epicanthoplasty and combined Asian eyelidplasty has changed negative reputation of the epicanthoplasty positively.
We believe that the magic epicanthoplasty(Kwon's method) performed in Teuim plastic surgery can help people who want to have a wide and beautiful expression of eyes.
Structural eyelidplasty in Asian eyelid :Combined Epicanthoplasty and Double Eyelidplasty as One Surgery : new paradigm in Asian double eyelid surgery
The epicanthus is a characteristic of the Asians which forms small, stuffy or
unfavorable eyes. Good candidates of Asian eyelid surgery are determined by the
degree of the epicanthal folds.
Performing double eyelid surgery on Asian eyes without properly managing the epicanthal folds causes unattractive results or can be a critical reason for getting your double eyelids to fade away. In fact, most of the problems after Asian double eyelid surgery are caused by the tension of the remaining epicanthal folds.
Considering previous history of Asian blepharoplasty, epicanthal folds have been an important key, but it had not been corrected properly because of defective methods. Most women say "I want to have beautiful and clear eyes", or "I want to have bigger eyes and bigger crease after surgery" during surgery consultations.
However, if a person who has severe epicanthal folds, small eyes and a wide interepicanthal distance, take only double eyelid surgery itself, the surgery can result in a unfavorable appearance by the skin covering over the epicanthal region. In case of less severe epicanthal folds, the double eyelid surgery alone can possibly make relatively desirable and favorable lines, but only an in-folder type of small double eyelid will appear after all.
If one has the epicanthus of Asian eyelid, it should be explained to patient that combined epicanthoplasty and double eyelidplasty would creates a clearer and well-defined double eyelid line by relaeasing the epicanthal tension and exposing the hidden part of the inner eye.
Previously we thought that epicanthoplasty is just ancillary procedure, it might be natural because plastic surgeons didn't know what the epicanthus is. It could be reasoned that there is no difference in basic anatomical structure of eyelid between Asian and other ethnicities. The presence of epicanthus or absence of supratarsal crease are one of differences of phenotype by relevant environments. What we should do for Asian blepharoplasty is to understand the evolution of eyelid and reverse evoutional processes for stability of surgical crease with minimally invasive technique.
If surgeons understand evolutional relationship between the epicanthus and the supratarsal crease, epicanthoplasty should be considered the basal surgery for Asian double eyelidplasty, as there is close relationship between loss of supratarsal crease and development of the epicanthus and epiblepharon.
Considering the relationship of the epicanthus fold and double eyelid, these combined surgeries can generate a perfect plan and create dramatic results.
There are many differences in devolutional eyelidplasty from conventional eyelidplasty without devolutional concept.
The epicanthus and epiblepharon is same manifestation except their location.
Both are composed of preseptal orbicularis muscle and degenerative fibrous tissues which replaced the room of atrophied orbicularis oculi muscles. There are more incidence of mild blepharoptosis in Asian eyelids. We think mild blepharoptosis in Asian eyelid is related with the eyelid evolution.
After the evolutional process, the loading conditions of levator muscle had been worsened.
The fibrous tissues within the epicanthus and the epiblepharon, vertical skin tension on upper eyelid, hypertrophied orbicularis oculi muscle and hypertrophied preaponeurotic fat pad add levator and muller muscle more loadings, and act as causal factors of blepharoptosis.
We can experience the improvement of mild blepharoptosis after devolutional epicanthoplasty often.When we evaluate blepharoptosis, we should consider the epicanthus related factors.
When we perform blepharoptosis surgery with devolutional epicanthoplasty simultaneously, correction of blepharoptosis become complete and is expected to get better result.
Also in devolutional eyelidplasty, destructive procedures on surgical crease for stronger adhesion is less necessary.
The tensional stress on crease by vertical skin tension is main cause of crease loss after double eyelidplasty in Asians. Contraction of malpositioned orbicularis oculi muscle in vertical direction is also a potential cause of tensional stress on surgical crease. Because we have resolved the possible causes of crease loss with devolutional epicanthoplasty, aggressive adhesion which performed in conventional method is less necessary. In more cases, we can apply non-incisional method for crease formation except excessively thick skin condition with true epiblepharon.
When we should remove excessive and malpositioned soft tissues in cases of droopy eyelids with epiblepharon, conservative resection for resolving the displaced soft tissues of the anterior lamella and partial removal of preaponeurotic fat in the posterior lamella is enough without unnecessary tissue injury. The overactive resection and resultant unnecessary tissue injury only cause prolonged swelling and depression scar.
We think that we need to review conventional procedures of Asian blepharoplasty and theoretical background for adjusting to devolutional Asian blepharoplasty appropriately. If we agree with the eyelid evolution and understand about the epicanthus in relation to double eyelid better, Asian double eyelidplasty would need to be refined more in combination with epicanthoplasty under devolutional concept.
Recently, through the foundation of the Magic epicanthoplasty, it is unnecessary to hesitate doing epicanthoplasty. Magic epicanthoplasty plus double eyelid surgery, these two combined methods tend to be the firm basic concept for the plastic surgery of Asian the eyes.
We think that epicanthoplasty needs to be considered as a core surgery for Asian double eyelidplasty, especially when forming the parallel-type of double eyelid. Epicanthoplasty is not an ancillary surgery in Asian double eyelidplasty,but combined epicanthoplasty and double eyelidplasty deserve one complete "structural eyelidplasty" for Asians.
Performing double eyelid surgery on Asian eyes without properly managing the epicanthal folds causes unattractive results or can be a critical reason for getting your double eyelids to fade away. In fact, most of the problems after Asian double eyelid surgery are caused by the tension of the remaining epicanthal folds.
Considering previous history of Asian blepharoplasty, epicanthal folds have been an important key, but it had not been corrected properly because of defective methods. Most women say "I want to have beautiful and clear eyes", or "I want to have bigger eyes and bigger crease after surgery" during surgery consultations.
However, if a person who has severe epicanthal folds, small eyes and a wide interepicanthal distance, take only double eyelid surgery itself, the surgery can result in a unfavorable appearance by the skin covering over the epicanthal region. In case of less severe epicanthal folds, the double eyelid surgery alone can possibly make relatively desirable and favorable lines, but only an in-folder type of small double eyelid will appear after all.
If one has the epicanthus of Asian eyelid, it should be explained to patient that combined epicanthoplasty and double eyelidplasty would creates a clearer and well-defined double eyelid line by relaeasing the epicanthal tension and exposing the hidden part of the inner eye.
Previously we thought that epicanthoplasty is just ancillary procedure, it might be natural because plastic surgeons didn't know what the epicanthus is. It could be reasoned that there is no difference in basic anatomical structure of eyelid between Asian and other ethnicities. The presence of epicanthus or absence of supratarsal crease are one of differences of phenotype by relevant environments. What we should do for Asian blepharoplasty is to understand the evolution of eyelid and reverse evoutional processes for stability of surgical crease with minimally invasive technique.
If surgeons understand evolutional relationship between the epicanthus and the supratarsal crease, epicanthoplasty should be considered the basal surgery for Asian double eyelidplasty, as there is close relationship between loss of supratarsal crease and development of the epicanthus and epiblepharon.
Considering the relationship of the epicanthus fold and double eyelid, these combined surgeries can generate a perfect plan and create dramatic results.
There are many differences in devolutional eyelidplasty from conventional eyelidplasty without devolutional concept.
The epicanthus and epiblepharon is same manifestation except their location.
Both are composed of preseptal orbicularis muscle and degenerative fibrous tissues which replaced the room of atrophied orbicularis oculi muscles. There are more incidence of mild blepharoptosis in Asian eyelids. We think mild blepharoptosis in Asian eyelid is related with the eyelid evolution.
After the evolutional process, the loading conditions of levator muscle had been worsened.
The fibrous tissues within the epicanthus and the epiblepharon, vertical skin tension on upper eyelid, hypertrophied orbicularis oculi muscle and hypertrophied preaponeurotic fat pad add levator and muller muscle more loadings, and act as causal factors of blepharoptosis.
We can experience the improvement of mild blepharoptosis after devolutional epicanthoplasty often.When we evaluate blepharoptosis, we should consider the epicanthus related factors.
When we perform blepharoptosis surgery with devolutional epicanthoplasty simultaneously, correction of blepharoptosis become complete and is expected to get better result.
Also in devolutional eyelidplasty, destructive procedures on surgical crease for stronger adhesion is less necessary.
The tensional stress on crease by vertical skin tension is main cause of crease loss after double eyelidplasty in Asians. Contraction of malpositioned orbicularis oculi muscle in vertical direction is also a potential cause of tensional stress on surgical crease. Because we have resolved the possible causes of crease loss with devolutional epicanthoplasty, aggressive adhesion which performed in conventional method is less necessary. In more cases, we can apply non-incisional method for crease formation except excessively thick skin condition with true epiblepharon.
When we should remove excessive and malpositioned soft tissues in cases of droopy eyelids with epiblepharon, conservative resection for resolving the displaced soft tissues of the anterior lamella and partial removal of preaponeurotic fat in the posterior lamella is enough without unnecessary tissue injury. The overactive resection and resultant unnecessary tissue injury only cause prolonged swelling and depression scar.
We think that we need to review conventional procedures of Asian blepharoplasty and theoretical background for adjusting to devolutional Asian blepharoplasty appropriately. If we agree with the eyelid evolution and understand about the epicanthus in relation to double eyelid better, Asian double eyelidplasty would need to be refined more in combination with epicanthoplasty under devolutional concept.
Recently, through the foundation of the Magic epicanthoplasty, it is unnecessary to hesitate doing epicanthoplasty. Magic epicanthoplasty plus double eyelid surgery, these two combined methods tend to be the firm basic concept for the plastic surgery of Asian the eyes.
We think that epicanthoplasty needs to be considered as a core surgery for Asian double eyelidplasty, especially when forming the parallel-type of double eyelid. Epicanthoplasty is not an ancillary surgery in Asian double eyelidplasty,but combined epicanthoplasty and double eyelidplasty deserve one complete "structural eyelidplasty" for Asians.
Magic epicanthoplasty combined with a double eyelid surgery in a
patient with severe epicanthal folds
Magic epicanthoplasty combined with a revisional double eyelid
surgery in a patient with severe epicanthal folds.
Would it be possible 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
surgical procedures and are different surgeries but, undertaking both surgeries
concomitantly can give you great results. You must be noted that the heads of
your eyelids have epicanthal folds , and the rest eyelid on which f double
eyelid is formed, is a continuous unit of skin.
Magic epicanthoplastyalso can be performed either to the innate double eyelid or to the surgically made double eyelid. In this case, partial correction of the double eyelid 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 at the same time.
Magic epicanthoplasty is a definite method that can achieve the effective lengthening of eyes in horizontal plane. Considering the relationship between epicanthal folds and double eyelids, combined procedures can be a best choice to express dramatic results.
Magic epicanthoplastyalso can be performed either to the innate double eyelid or to the surgically made double eyelid. In this case, partial correction of the double eyelid 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 at the same time.
Magic epicanthoplasty is a definite method that can achieve the effective lengthening of eyes in horizontal plane. Considering the relationship between epicanthal folds and double eyelids, combined procedures can be a best choice to express dramatic results.
Example) case showing unnatural double eyelid lines when only undertaken an
out-folder type double eyelidplasty without epicanthoplasty previously. Magic
epicanthoplasty combined with partial correction of inner double eyelid line can
acomplish refined double eyelid line at the inner corner region.
Example)Magic epicanthoplasty combined with non-incisional double
eyelid surgery resulting in parallel line
Example)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 acomplish refined double eyelid line.
Example)Magic epicanthoplasty combined with a revisional double
eyelid surgery in a patient with severe epicanthal folds.
<teuimclinic Dr.Kwon>
