Medial epicanthoplasty is a simple procedure that is undertaken to create a visual appearance of a wider and larger eyelid. It is most suitable for patients who have an epicanthal or Mongolian fold of the inner eyelid. This is a feature most often seen in the orientals.
What are the Characterising features of such a fold?
- Eyes that are wide apart
- Eyes that have a beaked shape that has a hook pointing downwards
- Eyes that have a tapered fold arising from the inner corner
- Occasionally some will have eyelashes growing within the fold
- Some folds are prominent abs and have a “U” shape from the upper to the lower eyelid
- The caruncle of the inner eye or the pink portion of the inner eye in often hidden.
What is the aesthetic ideal?
The procedure that is taken to elongate the inner corner is often dependent on proportions between the eyelid and the space between the eyes. The space is often wider than the width of the eye. The aesthetic ratio is universally accepted as an eye width between the eyes.
To achieve this coveted ratio, different methods have been described. The Medical literature is rife with many different techniques. Does it then mean that all these techniques yield the same results? The answer is no.
Some of these techniques have only been described to gain publications in prestigious journals.
What are the factors to consider before deciding on the technique?
1. Scar visibility
3. Scar thickening
The redraping technique as it is often called is the preferred method by a surgeon who is skilled in it. This is sometimes known by the name of magic epicanthoplasty in some Korean websites. This technique allows the surgeon to hide the scar within the inner fold of the eyelid.
The stitches are removed on day 7. Occasional patients will develop slight thickening of the scar. Massage techniques will be taught and scars will then heal well.
This procedure is often performed together with double eyelid creation. That way a more harmonious result can be achieved.
Patients have to be consulted in person to understand and see for themselves the simulated result.