Along with the single upper eyelid, the epicanthal fold is a defining characteristic of East Asians. It is a fold of skin which covers the inner corner of the eye, leading to a sharp narrow angle which gives the eye a “slit like” appearance. Although it is almost universally present in Asian people, the degree of severity will vary significantly between individuals.
What can be done to improve the appearance of the epicanthal fold?
An “medial epicanthoplasty” may be performed at the time of double eyelid surgery. This utilize a small skin flap to “elevate” the epicanthal fold, creating a parallel double eyelid fold.
When is the best time to have medial epicanthoplasty surgery?
Not everyone is suitable for this operation and it would depend on the severity of your epicanthal fold. In patients who are suitable the best time for medial epicanthoplasty is at the time of your double eyelid surgery.
The main drawback with this operation is that it does potentially leave a very small visible scar on the inner side of your new double eyelid fold, whereas in a simple double eyelid procedure the scar is hidden in the depth of the new supreatarsal (double eyelid) fold (therefore not visible with the eyes open).
Will the medial epicanthoplasty scar be obvious?
This is one of the most common questions asked by patients who are considering the surgery. Mr Lin utilizes a technique which places a very small scar within eyelid skin immediately under the new supratarsal (double eyelid) fold. This has the advantage of keeping the scar absolutely minimal, as well as to avoid the thicker, more oily skin of the nasal dorsum which potentially gives rise to more visible scars.
It is important to realize that all scars have the potential to become thick or unsightly (hypertophic or keloid scars). Although these are rare on eyelid skin, it is one of the risks that Mr Lin will discuss with you during your consultation.
*Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.