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The Dangers and Precautions of Epicanthoplasty Restoration Surgery

Medical reporter Hidoc Cha Ji-hoon, Director | Source: Hidoc

“Canthoplasty surgery” is often considered by those who have a closed appearance due to raised eye corners and narrow eye width. This is a surgery that opens the corner of the eye to extend the width of the eye and make it look cooler. If the surgery is successful, you can be reborn as a more attractive person. However, there are cases when unexpected side effects occur and the patient suffers even more.

If epicanthoplasty surgery is performed excessively with the aim of blindly increasing the horizontal length of the eye without considering the characteristics of each eye, such as the width and angle that can be rotated during the surgery, various side effects may occur. The most common symptom is ectropion, in which the lateral canthal ligament is destroyed, the shape of the tip of the eye is transformed into a “ㄷ” shape, and the eyelid is turned. In this case, natural healing is not possible, so a cleft lip restoration process is necessary.

What are the precautions for epicanthoplasty restoration surgery when choosing a method?
Epicanthoplasty restoration surgery, which improves the side effects of epicanthoplasty, is a surgical method that closes the enlarged corners of the eyes and closes the inverted mucosa so that it is not visible, thus returning the corners of the eyes to a structure anatomical close to normal. It is a very difficult and complicated ocular reoperation that requires many factors to consider, such as the location and area of ​​the scar, the degree of exposure of the conjunctiva, the extent of the missing eyelashes, and the height of both corners of the eyes.

The epicanthoplasty restoration operation is divided into complete restoration and partial restoration depending on the scope and area of ​​the restoration. You should be aware of the differences between the two before proceeding to avoid having to undergo re-operation for epicanthoplasty restoration.

First, complete restoration is a recommended restoration method when the scar created after epicanthoplasty surgery is large and the extent of the gap is large, causing great functional discomfort. It is a process that reconnects each layer of broken tissue in the corner of the eye and restores the shape and form of the corner of the eye. Although it is the most basic method, many people choose partial restoration because it can make the eyes smaller. The partial restoration process refers to the process of rebuilding some tissues in the corner of the eye due to less damage to the corner of the eye compared to cases requiring complete restoration, but due to the side effects of cleft lip. The eyes become smaller, but scars remain which may lead to subsequent reconstruction.

Performing a complete restoration does not necessarily mean that the eye will become smaller, and depending on the skill and experience of the medical personnel, sufficient restoration is possible without significantly reducing the size of the eye.

However, what is more important than the size of the eyes is that the surgery is performed carefully enough to avoid the need for reconstruction. The decision whether to perform a full or partial restoration should be made after carefully recognizing the severity of the side effects of epicanthoplasty, the degree of opening of the corner of the eye, the degree of realistic improvement, and the desired final appearance. Based on this, the scope of epicanthoplasty restoration must be properly defined through careful diagnosis and consultation with medical personnel with extensive experience in restoration to achieve the maximum improvement effect. Instead of making decisions based on others, check in with yourself.

Written by = Hidoc Medical Reporter Dr. Chae (plastic surgery specialist)

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