Epicanthoplasty Reconstruction: How to Reverse a Botched Epicanthoplasty

Hello, this is Hyundai Aesthetic Surgery. Many people who want a more defined eye shape often consider double eyelid surgery. However, quite a few patients feel that their impression is not as clear as expected after surgery, or that their eyes do not look as open and refreshed as they had hoped. This may be due to anatomical structures such as the Mongolian fold. If the inner corner of the eye is covered, the eyes can still look heavy or restricted even after a double eyelid line has been created. In such cases, the procedure to consider is epicanthoplasty. However, because epicanthoplasty is a highly delicate surgery, side effects do sometimes occur. As a result, scars may remain or the eye shape may become unnatural, leading to an increasing number of consultations from patients who wish to reverse the surgery. This is when epicanthoplasty reconstruction becomes necessary.

The most common side effect of epicanthoplasty is a ‘triangular scar.’ This type of scar can occur when the skin at the inner corner of the eye has been excessively incised, or when improper suturing causes the skin to bunch up or pull. Once scarring occurs, it can cause not only cosmetic concerns but also functional discomfort. For example, the inner corner of the eye may feel dry or irritated, tears may collect easily, or eye discharge may occur frequently. Moreover, because the skin in this area is thin and slow to recover, meticulous reconstruction is required. Epicanthoplasty reconstruction is classified as a highly challenging surgery because it must address both functional and aesthetic issues at the same time.

Many patients think of side effects after epicanthoplasty as something that can be treated simply as scar care, but in reality, the surgical strategy is completely different because it involves correcting an improperly altered structure. This surgery is performed by comprehensively considering multiple factors, including the position and direction of the incision, the degree of skin tension, and the amount of remaining tissue. In particular, if significant scar tissue has formed previously or if the patient has undergone multiple surgeries, an even more precise plan and advanced surgical technique are required. That is why it is most important to receive reconstructive surgery from medical professionals with extensive experience and refined technique.

At Hyundai Aesthetic Surgery, we apply personalized designs based on extensive experience in epicanthoplasty reconstruction. Rather than simply hiding scars, we approach the procedure as a complete redesign from the beginning. Because the skin around the inner corner of the eye is especially sensitive, the key is to minimize tissue damage and restore a natural eye shape. One important point in epicanthoplasty reconstruction is making the best possible use of the remaining tissue, and when tissue is insufficient, skin may sometimes be harvested from the area around the ear or behind the ear for grafting.

A common question many patients ask during consultations is, “Can I have epicanthoplasty again?” In such cases, epicanthoplasty reconstruction must be approached with even greater caution. When the previous surgical area is touched again, the skin may become thinner, and because it is a revision surgery, the recovery period may be longer than that of a standard procedure. Therefore, postoperative recovery care and regular follow-up checks are also very important.

If your eye shape has become awkward due to epicanthoplasty, or if you are concerned about remaining scars, now is the time to receive a professional diagnosis and consultation. Rather than repeating revision surgeries without a clear plan, it helps to find a solution through an accurate diagnosis from the start. At Hyundai Aesthetic Surgery, we suggest surgical methods suited to each individual’s eye structure based on a wide range of cases. If you wish to redesign not only your eyes but also your overall impression, we invite you to consult with Hyundai Aesthetic Surgery about epicanthoplasty reconstruction.




