The fold at the inner edge of the eyelids – often referred to as the Mongolian fold – can cause eyes to look round, distant and narrow. Medial canthoplasty is a procedure used to assist in extending the width of the eyes in order to make them look bigger and more attractive.
People with severe Mongolian folds undergoing double eyelid surgery may find that the Mongolian fold gets more severe. Alternatively, surgery can make eyes smaller and more awkward, diminishing the satisfaction of the patient. Even with a small distance between the eyes, the fold can cause an awkward look. In these circumstances, correction of the Mongolian fold should be done without lengthening the eyelids.
Scars from medial canthoplasty procedures are rarely noticeable. They are positioned near the eyelashes or inside of the double eyelids. Two to three months after surgery, these scars are usually almost unnoticeable even without any makeup (Individual results may vary according to existing condition).
Our team of plastic surgeons utilises a variety of bespoke surgical methods depending on the unique circumstances of each individual including skin-redraping, uchida, and hiraga surgery. Therefore, surgical complications arising from un-customised methods are prevented. This can help greatly in avoiding a long recovery time. It is important to note that skin-redraping surgery is rarely utilised due to its longer post-surgery recovery time.
Minimal incision is done to improve the Mongolian fold, and hence, reducing the likelihood of scarring.
The incision line is well hidden and the eye muscles and fibrous film that are responsible for causing the folds are separated.
This method hides the incision line by separating and suturing the fibrous film and eye muscles that are responsible for causing the Mongolian fold.
Where excessive medial canthoplasty was done, our corrective specialists can partially recreate the fold.
Lateral Canthoplasty involves the cutting of the outer corner of the eyes, to lengthen the eyes. This is often performed with double eyelid procedure to enhance the result.
There is no need to worry about scars because the mucous membrane of the lateral angle of the eyes are incised. If necessary, the eye slant is firmly fixed to the periost so that the position of eye slant can be adjusted without worrying about recurrence.
The length of the eyes are extended by making an incision on a lateral angle of the eyes, and the incision length is usually about 2~3 mm. After arranging the skin of the incised lateral angle of the eyes, the orbicular muscles of the eyes, and the lateral angle muscle, the lateral angle muscle itself is fixed to the periost if necessary. The arranged lateral angle of the eyes is then carefully sutured.
1. Incision made on the side of the eye
2. Remove the tissue that induces adhesion.
3. Naturally wider looking eyes after surgery.
Many people born with small eyes can also suffer from drooped eyelids, or can begin to experience some difficulty opening their eyes later in life due to ageing. Medically referred to as ‘blepharoptosis’, which means that the eyelids are partially or extensively covering the iris, this can be due to genetic, ageing or other non-congenital factors - 30 per cent because of genetics and 70 per cent due to ageing or other factors.
Testing the strength of the muscle used to lift the eyelids– the levator – is crucial to establishing a diagnosis for blepharoptosis. Ptosis correction is recommended as soon as possible because this condition can affect the person’s vision and interfere with their daily activities. Droopy upper eyelids not only look potentially unappealing, but when left untreated for a long period of time, they can also potentially have a negative impact on one’s eyesight including lazy eye or astigmatism.
Patients may be considered to be a candidate for ptosis correction surgery if they exhibit any of the following:
A thread is fixed to the levator – the muscle used to lift the eyelids.
The thread tightens and strengthens the levator which is responsible for lifting the eyelids.
Eyelids can regain part of their ability to lift and the patient’s eyes appear naturally bigger.
Eye bags are one of the most common concerns among Asians. As we age, the muscles, fat and skin starts to loosen or migrate downwards, causing the area below the eye to look puffy. This puffiness is commonly referred to as eye bags. The presence of eye bags can make a person look tired and old. However, lower blepharoplasty can help greatly in diminishing eye bags and rejuvenating a person’s appearance.
Our specialist will partially reduce or rearrange the protruding portion of the lower eyelids, ensuring that drooping muscles are fixed to the periost – the point of attachment between bones, and muscles and tendons.
Through this procedure, dark circles around the eye can be diminished and any drooping muscles are fixed in place. The processes involved in eye bag surgery do not treat problems below the eyes superficially, but address them fundamentally one at a time to achieve more natural-looking results.
You may be considered a viable candidate for this procedure if you suffer from any of the following;
1. Excess or droopy skin is removed
2. Fat is removed or rearranged, and fat membranes are rearranged
3. Congestions are arranged and muscle and suture are recovered
ALL Plastic Surgery Services are performed by a MOH fully accredited Plastic Surgeon.