It is no exaggeration to say that first impressions are determined through the eyes, as the eyes are a very important area that defines the appearance of the face. Therefore, among the various concerns people have about their appearance, the eyes account for the largest share, and efforts generally focus on improving eyes that can appear somewhat small and stuffy in East Asian individuals.

For this reason, double-eyelid surgery can naturally be considered the most commonly performed cosmetic procedure. Double-eyelid surgery, which creates a crease in a monolid eyelid, plays a major role in changing the shape of the eyes, but its role in improving eye size is limited. Since it does not affect the horizontal length of the eyes, it cannot be regarded as a procedure that gives the impression of widened eyes. Therefore, people who visit a clinic with concerns about small and stuffy-looking eyes may find it difficult to achieve sufficient satisfaction with double-eyelid surgery alone.

In such cases, ptosis correction and canthoplasty procedures such as medial epicanthoplasty, lateral canthoplasty, and lower canthoplasty may be performed together, helping to create larger and more refined-looking eyes. Of course, it is advisable to determine the necessity and expected effect of each procedure through a detailed consultation and diagnosis with a board-certified plastic surgeon, and to proceed with eye surgery that is appropriate and necessary for each individual.

If ptosis prevents the eyelids from lifting sufficiently or if improvement in eye shape is desired, ptosis correction may be performed. If there are epicanthal folds or if upturned outer corners of the eyes create a sharp impression, medial epicanthoplasty, lateral canthoplasty, or lower canthoplasty can be combined with double-eyelid surgery to improve the overall appearance into larger, clearer-looking eyes.

'Big Eye Eye-Shape Expansion Surgery' is a surgical method that aims to improve the eye shape by selecting various eye surgery techniques, such as double-eyelid surgery, ptosis correction, medial epicanthoplasty, lateral canthoplasty, and lower canthoplasty, according to the diagnosis results and the individual's characteristics. It can be considered suitable for people whose double eyelids cover the pupil area needed for clear vision because the muscles that open the eyes are congenitally or acquiredly weak, making the eyes appear less defined.

In other words, it is important to plan surgery so that both the horizontal and vertical dimensions of the eyes can be expanded at once according to each individual's eyelid condition, natural skin characteristics, and eyeball shape. If the eyelid muscles are weak, shortening and tightening the loosened muscles can help create a gentle yet clear eye shape.

Dr. Hwang Ho, director of Hyundai Aesthetic Surgery, advised, "Because every person is born with different eye size, muscle volume, eyelid fat volume, skin thickness, and degree of eyeball protrusion, performing eye surgery based only on theoretical surgical methods will inevitably lead to unsatisfactory results." He added, "Many people think of facial contours when they hear the word contour, but in fact every eye also has its own contour. The contour determines the shape and size relationship between the dark iris and the white of the eye, which affects the overall impression. Therefore, depending on each individual's eye condition, surgery should sometimes lift the front of the eye and sometimes lower the back of the eye, so that eye surgery is performed according to harmonious proportions of the eye contour."

▲ Medical Today news article (2020.06.18) Source: Medical Today · Reported on 2020.06.18 · Reporter Ko Dong-hyun · Original article mdtoday.co.kr

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