craniotomy
MEDIAL EPICANTHOPLASTY (INNER CORNER INCISION SURGERY)Make your eyes appear wider for a bright, glamorous look
- Enhance your eye width by smoothing out the Mongolian fold! For wide-eyed, wide-open eyes.
- Bianca Doctor's design expertise pursues a natural finish
- Can be combined with double eyelid surgery! Achieve your ideal eye look
BIANCA Doctor's extensive expertise enables us to propose your ideal design.
Bianca Clinic employs numerous board-certified plastic surgeons who propose ideal designs based on extensive experience and anatomical expertise. For epicanthoplasty, we pursue not only the removal of the epicanthal fold but also harmony between the eyes and nose and alignment with the ideal double eyelid line. We select surgical methods suited to each eye area to achieve subtle, natural-looking results.
To realize our patients' ideal outcomes, thorough consultations are essential. During pre-treatment consultations, we listen to patients' requests, including their lifestyle background, and explain the benefits and drawbacks of the procedure. Aligning the doctor's and patient's vision ensures high satisfaction.
Downtime
DOWNTIMERecommended for people like this
RECOMMENDED FOR:Features
CHARACTERISTICSInner Canthus Surgery
Mongolian fold surgery is a cosmetic procedure that involves incising and adjusting the naturally occurring skin fold known as the epicanthal fold. This widens the horizontal width of the eyes, creating a larger, more striking eye appearance. The epicanthal fold refers to the skin extending from the upper eyelid toward the inner corner of the eye. By incising the inner corner, the hidden lacrimal papilla (the red area at the inner corner) becomes exposed, giving the eye shape a more defined impression. Beyond enhancing the inner corner appearance, another benefit is that it makes the double eyelid line more beautifully defined and prominent. This procedure is particularly suited for those desiring a parallel-type double eyelid or wishing to narrow the distance between their eyes, and it can also help improve the overall facial balance. At Bianca Clinic, we tailor the procedure to each patient's eye shape and ideal outcome, striving for a natural finish by minimizing the incision area as much as possible. We perform delicate procedures with careful consideration for downtime and scarring.
【Z-Plasty and W-Plasty】Customized Inner Canthus Surgery for Each Individual
There are several surgical techniques for epicanthoplasty, and the surgeon will determine the appropriate technique after examination. Here, we introduce two representative techniques.
【Z Method】
A surgical procedure involving making a Z-shaped incision at the inner corner of the eye, repositioning the skin flap, and suturing.
・Benefits:
Easy to adjust the design
Relatively less noticeable scarring and shorter downtime
If you're not satisfied with the result, it's easy to make adjustments again.
・Disadvantages:
Dramatic changes may be difficult to perceive.
【W Method】
A surgical procedure involving making a Z-shaped incision at the inner corner of the eye and excising skin.
・Benefits:
It is easier to open the inner corner of the eye wider than with the Z-plasty method.
You can easily feel a distinct change.
Suitable for use in combination with double eyelid surgery
・Disadvantages:
The time required for surgery, wound recovery, and downtime tends to be longer than with the Z-plasty method.
Once incised, it is difficult to restore to its original state.
As time passes, the scars become less noticeable.
Since inner corner blepharoplasty involves making incisions around the eyes, many people hesitate to undergo the procedure due to concerns about noticeable scarring. While individual results vary, scars typically become less visible over time. Please review Bianca's case photos to see the post-operative progress and scarring after inner corner blepharoplasty.
【Immediately after surgery】
The period until suture removal is when stitches remain around the eyes, making the wound more noticeable.
【5 to 7 days after surgery】
Once the stitches are removed, the sutures are gone and you can apply makeup, making it easier to conceal the scar.
【Approximately one month after surgery】
A slight redness may appear.
【Approximately 2 to 3 months after surgery】
The scar gradually becomes a thin white line and becomes less noticeable.
Individual results may vary, but scars become barely noticeable with makeup.
Benefits
MERITRemove the Mongolian fold for large, glamorous eyes
By removing the Mongolian fold to expose the hidden tear mound area, you can achieve wide, large-looking eyes.
Adjusting the distance between the eyes creates balance across the entire face.
Approaching wide-set eyes by narrowing the distance between them to the golden ratio. Balancing the entire face to achieve your ideal facial features.
Double eyelids become more beautifully defined and stand out more easily.
It facilitates the creation of parallel double eyelids and can be combined with double eyelid surgery for synergistic effects.
Recommended Features
RECOMMENDED POINTSThe key to the inner canthus incision line is “not too little, not too much.”
The key to successful inner corner eyelid surgery is achieving a natural and beautiful design. If the incision line is too small, the change may be barely noticeable; if it's too large, the tear mound becomes overly visible, creating an unnatural appearance. In fact, some patients who underwent inner corner surgery elsewhere but were dissatisfied with the results come to Bianca for revision surgery.
Generally, the ideal "golden ratio of beauty" is considered to be a width ratio of 1:1:1 for the right eye, the distance between the eyes, and the width of the left eye. However, the design for epicanthoplasty cannot simply be applied based on this ratio alone. At Bianca, we determine the design by carefully assessing the overall facial balance, including the condition of the epicanthal folds and bone structure. To achieve the desired outcome, please feel free to discuss any concerns or questions you may have.
Minimizing postoperative burden through comprehensive downtime management
While epicanthoplasty is a procedure with relatively minimal downtime, some patients may feel anxious about how to care for themselves post-surgery. Paying attention to the following points during your recovery period can help reduce the burden after surgery.
【Things to Avoid During Downtime After Inner Corner Blepharoplasty】
・Long baths, alcohol consumption, and strenuous exercise: These activities increase blood flow and may worsen swelling or bruising.
・Avoid getting water in your eyes: Especially until your stitches are removed, take care to avoid any irritation around your eyes.
・Lying down for extended periods: Blood may pool around the eyes, making bruising more noticeable.
Combined with double eyelid surgery, you can achieve your ideal eye area.
Incising the epicanthal fold during epicanthoplasty not only creates a more wide-eyed impression but can also result in double eyelids for some individuals. For those whose natural double eyelid crease lies above the epicanthal fold, epicanthoplasty alone may create double eyelids. However, for individuals whose double eyelid crease lies within the epicanthal fold, epicanthoplasty alone is unlikely to create double eyelids. In such cases, combining epicanthoplasty with double eyelid surgery may make it possible to form double eyelids. Bianca offers two main types of double eyelid surgery. Please consult with us during your consultation to determine if you are a suitable candidate.
【Buried Suture Method】A technique that uses medical-grade thread without cutting the eyelid
・Both treatment time and downtime tend to be short
・Double eyelids may revert to their original state over time
【Incision Method】A method of creating double eyelids by making an incision in the eyelid
・Long-lasting effects can be expected from a single treatment
・Requires more procedure time and downtime than the buried suture method
Schedule of Charges
PRICE LIST| Treatment Details | Standard rate |
|---|---|
| craniotomy | ¥300,080 |
Dr. Yagasugi, the supervising surgeon, has different surgical fees than those listed above.
Appointments specifically requesting Dr. Yagasugi incur an initial consultation fee of ¥5,500. For details, please contact the clinic.
Treatment area
TREATMENT AREA目
Treatment Process
CONTENT OF TREATMENTPhysician's examination and counseling
We determine the surgical technique and incision line design by assessing the condition of the epicanthal folds and the overall balance of your face. If you wish to undergo procedures such as double eyelid surgery simultaneously with epicanthoplasty, please consult with us.
Makeup removal
Please remove your makeup before the treatment.
treatment
The procedure takes approximately 20 minutes. Topical eye drops and local anesthesia are used during surgery. If desired, sedation or intravenous anesthesia can also be administered.
postoperative
After surgery, we will provide you with antibiotics, pain medication, and antibiotic eye drops. For the first three days post-surgery, please apply cold compresses to the eye area to help prevent bruising and swelling. At BIANCA CLINIC, we also offer herbal medicine and intravenous drips designed to reduce bruising and swelling; please consult with us.
Suture removal
Please return to the clinic for suture removal in about one week. Once the sutures are removed, you will be able to apply makeup.
Lifestyle Beautyis
proposed.
Our goal is to move you beyond satisfaction.
Responding to the desire for greater beauty and health,
What can we do for the well-being of our patients?
Providing total beauty to make your life shine,
That is our policy.
Go to BIANCA and you'll find a smile.
That's the kind of place we're aiming for.
【Procedure Details】Inner Canthus Surgery
【Estimated Treatment Period and Number of Sessions】Typically 1 session ※May vary depending on your condition.
【Risks and Side Effects】 Scarring, asymmetry, contracture, etc.
Frequently Asked Questions About Inner Corner Blepharoplasty
Q&AHow much can I enlarge my eyes with an epicanthoplasty?
Design and adjustments can be made down to the millimeter. Depending on your preferences and the condition of your eyes, procedures like double eyelid surgery or lateral canthoplasty can be combined to achieve results closer to your ideal. Please discuss this during your consultation.
Are the scars from epicanthoplasty noticeable?
The incision made on the skin surface will gradually fade over several months, changing from reddish-brown (hyperpigmentation) to a pale line, becoming less noticeable. The scar can be covered with foundation or eye makeup to the point where it is barely visible.
Are there people who aren't suited for epicanthoplasty?
Epicanthoplasty is a procedure that reduces the distance between the eyes by cutting the epicanthal fold. Therefore, it may not be suitable for individuals who already have minimal epicanthal folds or naturally close-set eyes. If such individuals undergo epicanthoplasty, the lacrimal mounds may become overly visible, potentially creating an unnatural appearance. If you are unsure whether epicanthoplasty is appropriate for you, please consult with us during your counseling session.
After undergoing an epicanthoplasty, is it possible for the results to revert?
While the likelihood of a medial canthoplasty reversing is low, it can occur if the surgical technique is unsuitable or if the skin reattaches over time. At Bianca Clinic, we select a surgical technique tailored to each patient's eye area and perform the procedure with care to prevent a return to the pre-operative state.
Can I get an epicanthoplasty done on just one eye?
Single-eye epicanthoplasty is also possible. For individuals with asymmetry in eye shape or epicanthal folds, the procedure may be performed on only one eye to match the other.
When can I get eyelash extensions or wear contact lenses after an epicanthoplasty?
It is advisable to refrain from eyelash extensions for about one month, until the incision from the epicanthoplasty has healed. Contact lenses may be worn starting three days after the procedure.
How much pain is there during and after surgery?
During the inner canthus surgery, topical anesthetic eye drops and local anesthesia are used, so you will feel little to no pain during the procedure. If you are concerned about pain, please discuss this during your consultation.
I had a failed epicanthoplasty before. Can I get revision surgery?
At Bianca, we perform revision surgery for procedures performed at other clinics. For epicanthoplasty, some patients seek revision when the incision was too deep, resulting in an unnatural appearance, or when the desired change wasn't achieved despite the incision. Revision surgery requires a high level of technical skill, so our experienced doctors at Bianca will handle it. Bringing documentation detailing the surgery performed at the other clinic will help the process go smoothly.
Inner corner blepharoplasty or outer corner blepharoplasty—which is better?
Inner and outer canthoplasty each have distinct characteristics, and the most suitable option varies for each individual patient. At Bianca Clinic, we can perform both inner and outer canthoplasty procedures simultaneously. Please discuss this during your consultation.
RESERVATION