Many people with lackluster eyes and small pupils are jokingly called "dead fish eyes" by friends. An epicanthoplasty can sculpt beautiful eye contours, revealing captivating beauty! Eyes that are bright, lively, and smoothly defined often leave a lasting impression. This procedure is often the key to transforming small eyes into larger ones.
Inner Canthus Surgery
Inner canthus surgery, also known as epicanthoplasty, involves removing excess upper eyelid tissue through precise cosmetic incisions. This procedure leaves minimal visible scarring and aims to fully expose the lacrimal papilla.Beyond effectively widening the eye shape, this procedure prevents the double eyelid crease from disappearing into the inner corner. Typically, correcting epicanthal folds can increase eye length by 1-3 millimeters, with even better results when combined with double eyelid surgery.
Lateral canthoplasty is typically performed for cosmetic purposes and to correct eyelid closure issues. In cosmetic surgery, lateral canthoplasty is academically confined to the skin and muscle tissue layers, with many procedures occupying a cross-disciplinary space between cosmetic surgery and ophthalmology. Clinically, it is generally categorized into simple epicanthal folds and complex epicanthal folds.The former involves only epicanthal folds, with a slightly narrowed palpebral fissure and single or inner double eyelids, without other abnormalities. The latter is accompanied by a significantly narrowed palpebral fissure, thickened eyelid skin and subcutaneous tissue, underdeveloped orbicularis oculi muscle, short and narrow tarsal plate, and often ptosis.
Correcting Hypoplasia of the Eyes
Epicanthoplasty for correcting hypoplasia of the eyes requires enlarging both the medial and lateral canthi. When necessary, medial canthal ligament fixation may be performed to correct widened orbital distance, or ptosis correction surgery may also be required.Congenital microphthalmia involves narrow palpebral fissures, severe epicanthal folds, and often concomitant widened epicanthal distance and ptosis. Therefore, surgery should be performed in stages. The optimal surgical timing is before school age, when nasal bone development is gradually complete and appearance—particularly the epicanthal distance—may improve.
Managing Microphthalmic Syndrome