What is Kwon's method (Devolution epicanthoplasty=Magic epicanthoplasty)?

What is epicanthoplasty (correction of epicanthal folds)?

Epicanthoplasty is the name of the surgery that corrects epicanthal folds that cover the inner corners of Asian eyes, making your eyes look more open, refined and bigger. 

Epicanthoplasty can be helpful for people who have small eyes, wide apart eyes or severe looking eyes due to the inclination of the inner corners of their eyes by epicanthal folds.

When epicanthoplasty is performed with a double eyelid surgery, the horizontal length of eyes can be extended and the interepicanthal distance will also be narrowed effectively. Also, attractive and refined double eyelids will be created by improvement of the epicanthal folds. Double eyelidplasty is the most popular cosmetic procedure for Asians, and the epicanthus was a conundrum which limit cosmetic result of double eyelidplasty. 

 

Double eyelidplasty without epicanthoplasty tend to be unattractive or unnatural. Aesthetically, the epicanthal fold is worsened when performing double eyelidplasty without epicanthoplasty because double eyelid formation aggravates vertical tension on epicanthal skin. It has been a long-standing dilemma for plastic surgeons to decide on a procedure, i.e. infold type double eyelidplasty with a less satisfactory result or outfold type double eyelidplasty with concomitant epicanthoplasty, taking risk of hypertrophic scar in Asian eyelid. When the epicanthal fold is severe, the surgical incision of skin flap also become longer, and a scar could be easily visible in conventional method, which based on the concept of local skin flap and lacked a consideration of upper orbicularis muscle and vertical epicanthal tension. 

 

Although it has been reasoned that combined epicanthoplasty is helpful in Asian double eyelidplasty, there has not been clear understanding about epicanthal fold, resulting in controversies for solution. There have been so many epicanthoplasty methods developed in its early days, which are mostly based on skin flap concept. Currently using methods are combined technics including skin excision, z-plasty, myotomy or myectomy of preseptal orbicularis muscle, skin redraping, plication of medial canthal ligament and so on. The development of incomplete methods were unavoidable without understanding about true nature of the epicanthus. As the clinical significance of the epicanthus is mainly related with Asian double eyelidplasty, essential epicanthoplasty should be a key to plastic surgeons for choice of all the type of double eyelid including high outfold type(parallel type). But, there has not yet been a potent epicanthoplasty method which deserves universal solution for Asian double eyelidplasty. So we developed Kwon's method based on devolutional concept. 

What is Kwon's method (Devolution epicanthoplasty=Magic epicanthoplasty)?

Magic epicanthoplasty(Kwon’s method) is a unique method for correcting epicanthal folds of Asian eyelid, and is the surgery to be first founded by Dr. Kwon. Kwon’s method is based on the devolutional concept that restores original pericanthal structure for stable double eyelid formation without anatomical distortion. It can be accomplished by just rearranging the soft tissue without risk of severe complication or noticeable scar. Unlike conventional methods, Magic epicanthoplasty primarily releases the malpositioned soft tissues and fibrosis, then leads to the restoration of the medial canthus naturally without the removal of the skin or muscle. 

Magic epicanthoplasty(Kwon’s method) is a universal method for various Asian epicanthus, and is the basal surgery for double eyelidplasty for Asian.

The clinical significance of epicanthal fold is mainly related with double eyelidplasty in Asians.

Epicanthal fold is worsened when performing double eyelidplasty without epicanthoplastyas double eyelid aggravates tension on epicanthal skin. And aesthetic results of double eyelidplasty without epicanthoplasty tend to be unnatural or unattractive.When performing out-fold type eyelidplasty without epicanthoplasty, prolonged swelling retention(so-called sausage phenomenon) occurs due to blockage of lymphatic flow by vertical tension and fading away of double eyelids are frequently noted.Unless the epicanthoplasty releases skin tension and remove potential inhibition factors of crease loss, the surgical crease will not look natural or not be able to last in any enduring fashion.

In the early days of epicanthoplasty surgery, numerous surgical methods were introduced to correct the redundant skin fold which were based on the concept of local flaps.

However, their disadvantages such as difficulty in design and resultant prominent scars had limited their use. Recently new epicanthoplasty methods have been introduced to correct Asian anatomical differences such as excessive skin, abnormal skin tension, a malpositioned orbicularis muscle, fibroadipose tissue, elongated medial canthal ligament, etc. However, none of them could be a treatment of choice as they lacked exact understanding regarding the malposition of upper orbicularis muscle and vertical skin tension in relation to the double eyelid. The surgical methods based on defective/inadequate understanding of the true nature of the epicanthus could not be sufficiently effectivefor Asian eyelidplasty.

Epicanthoplasty using devolutional method(Kwon's method) was developed on the basis of our understanding of epicanthal formation and causal relationship with double eyelid. Therefore, it is a completely new technique first made by Dr. Bongsik Kwon. This method is also 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. 

To perform magic epicanthoplasty, a surgeon needs plentiful experiences and extreme carefulness to acomplish optimal results. Teuim plastic surgical clinic have more than 5000 cases of magic epicanthoplasty alone or combined double eyelid surgeries.  

Example) Magic epicanthoplasty in Asian single eyelid 

Example)Magic epicanthoplasty in Asian with double eyelid

Example)Combination of the Magic epicanthoplasty with the non-incisional double eyelid surgery

Example)Combination of the Magic epicanthoplasty with the incisional double eyelid surgery

Example)Combination of the Magic epicanthoplasty with the ptosis correction surgery

Example)Combination of the Magic epicanthoplasty with revisional double eyelid surgery 

-Teuim Clinic Dr.Kwon-

E-mail: paris85@naver.com

Magic epicanthoplasty converted negative opinions resulted from conventional methods

3.Magic epicanthoplasty converted negative opinions resulted from conventional methods



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. 

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.

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>

What is Kwon's method (Devolution epicanthoplasty=Magic epicanthoplasty)?

Magic epicanthoplasty(Kwon’s method) is a unique method for correcting epicanthal folds of Asian eyelid, and is the surgery to be first founded by Dr. Kwon. Kwon’s method is based on the devolutional concept that restores original pericanthal structure for stable double eyelid formation without anatomical distortion. It can be accomplished by just rearranging the soft tissue without risk of severe complication or noticeable scar. Unlike conventional methods, Magic epicanthoplasty primarily releases the malpositioned soft tissues and fibrosis, then leads to the restoration of the medial canthus naturally without the removal of the skin or muscle.

Magic epicanthoplasty(Kwon’s method) is a universal method for various Asian epicanthus, and is the basal surgery for double eyelidplasty for Asian. 

The clinical significance of epicanthal fold is mainly related with double eyelidplasty in Asians.
Epicanthal fold is worsened when performing double eyelidplasty without epicanthoplastyas double eyelid aggravates tension on epicanthal skin. And aesthetic results of double eyelidplasty without epicanthoplasty tend to be unnatural or unattractive.When performing out-fold type eyelidplasty without epicanthoplasty, prolonged swelling retention(so-called sausage phenomenon) occurs due to blockage of lymphatic flow by vertical tension and fading away of double eyelids are frequently noted.Unless the epicanthoplasty releases skin tension and remove potential inhibition factors of crease loss, the surgical crease will not look natural or not be able to last in any enduring fashion.

In the early days of epicanthoplasty surgery, numerous surgical methods were introduced to correct the redundant skin fold which were based on the concept of local flaps.
However, their disadvantages such as difficulty in design and resultant prominent scars had limited their use. Recently new epicanthoplasty methods have been introduced to correct Asian anatomical differences such as excessive skin, abnormal skin tension, a malpositioned orbicularis muscle, fibroadipose tissue, elongated medial canthal ligament, etc. However, none of them could be a treatment of choice as they lacked exact understanding regarding the malposition of upper orbicularis muscle and vertical skin tension in relation to the double eyelid. The surgical methods based on defective/inadequate understanding of the true nature of the epicanthus could not be sufficiently effectivefor Asian eyelidplasty.

Epicanthoplasty using devolutional method(Kwon's method) was developed on the basis of our understanding of epicanthal formation and causal relationship with double eyelid. Therefore, it is a completely new technique first made by Dr. Bongsik Kwon. This method is also 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.

To perform magic epicanthoplasty, a surgeon needs plentiful experiences and extreme carefulness to acomplish optimal results. Teuim plastic surgical clinic have more than 5000 cases of magic epicanthoplasty alone or combined double eyelid surgeries. 

Example) Magic epicanthoplasty in Asian single eyelid

Example)Magic epicanthoplasty in Asian with double eyelid 

Example)Combination of the Magic epicanthoplasty with the non-incisional double eyelid surgery

Example)Combination of the Magic epicanthoplasty with the incisional double eyelid surgery

 

Example)Combination of the Magic epicanthoplasty with the ptosis correction surgery

Example)Combination of the Magic epicanthoplasty with revisional double eyelid surgery 

<Teuim Clinic Dr.Kwon>

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