I'm simply looking to enhance, not change, my eyes. When I went into consult, the doctor recommended that I also get an epicanthoplasty. I got the impression that without the epi, my Asian bleph would not come out 'optimal'. Is this true in my case? My sisters told me without it, I'll have down syndrome eyes. I really do not want to get the epi, but I'm worried I cannot have one without the other. I want to avoid the epi at all costs, as the scarring and end result is so unnatural to me.
Answer: A natural-looking eyelid crease can be created without the need of an epicanthoplasty In Asian eyelid surgery, you are going to find some variability in the doctors you meet, their particular style, and what they see as optimal Asian eyelid surgery. There are a good number of colleagues who believe strongly in epicanthoplasty and that’s fine. I always explain to my patients that 50% of people of Asian descent will have a crease and 50% will not. So when I do my surgery, I make a crease as if it was naturally made. In evaluating patients, I take a Q-tip and roll the skin in to see where your physical skin would give permission to create a crease. Generally, for someone with a strong epicanthal fold, the crease flows into it. Someone with a subtle epicanthal fold, it just goes parallel or it tapers in more softly. However, epicanthoplasty changes the whole dynamic of the eyelids so that the crease goes in further and more of the inner corner of your eye is seen. From my perspective, if nature were to create a natural fold for you, there shouldn’t be a difference in the epicanthus and the area where it is basically the inner corner of the eye. That said, I generally don’t do epicanthoplasties because it doesn’t give a natural appearance. In my practice, we use a lot of advanced technology for scarring. I’ve been a practicing oculofacial plastic surgeon for over 20 years, and I have my own surgical technique. However, predicting someone’s healing sometimes can be a challenge. When we’re dealing with the epicanthal area, there are risks for more obvious scars and the appearance of something that shows you had surgery. The goal from my perspective is staying in line with a natural look. It should like you were born with the crease , which is my aesthetic. It is possible not to do the epicanthoplasty as long as you understand what the anticipated outcome would be. You should be pleased with the results and it’s consistent with what you want to see as an outcome. I suggest that you meet with additional doctors and get some more opinions about how to do this without the epicanthoplasty. Look at what you would look like, take pictures and see what the crease would look like in the anticipating case scenario. I hope that was helpful, I wish you the best of luck, and thank you for your question. This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.
Helpful 3 people found this helpful
Book a consultation
CONTACT NOW Answer: A natural-looking eyelid crease can be created without the need of an epicanthoplasty In Asian eyelid surgery, you are going to find some variability in the doctors you meet, their particular style, and what they see as optimal Asian eyelid surgery. There are a good number of colleagues who believe strongly in epicanthoplasty and that’s fine. I always explain to my patients that 50% of people of Asian descent will have a crease and 50% will not. So when I do my surgery, I make a crease as if it was naturally made. In evaluating patients, I take a Q-tip and roll the skin in to see where your physical skin would give permission to create a crease. Generally, for someone with a strong epicanthal fold, the crease flows into it. Someone with a subtle epicanthal fold, it just goes parallel or it tapers in more softly. However, epicanthoplasty changes the whole dynamic of the eyelids so that the crease goes in further and more of the inner corner of your eye is seen. From my perspective, if nature were to create a natural fold for you, there shouldn’t be a difference in the epicanthus and the area where it is basically the inner corner of the eye. That said, I generally don’t do epicanthoplasties because it doesn’t give a natural appearance. In my practice, we use a lot of advanced technology for scarring. I’ve been a practicing oculofacial plastic surgeon for over 20 years, and I have my own surgical technique. However, predicting someone’s healing sometimes can be a challenge. When we’re dealing with the epicanthal area, there are risks for more obvious scars and the appearance of something that shows you had surgery. The goal from my perspective is staying in line with a natural look. It should like you were born with the crease , which is my aesthetic. It is possible not to do the epicanthoplasty as long as you understand what the anticipated outcome would be. You should be pleased with the results and it’s consistent with what you want to see as an outcome. I suggest that you meet with additional doctors and get some more opinions about how to do this without the epicanthoplasty. Look at what you would look like, take pictures and see what the crease would look like in the anticipating case scenario. I hope that was helpful, I wish you the best of luck, and thank you for your question. This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.
Helpful 3 people found this helpful
Book a consultation
CONTACT NOW May 3, 2018
Answer: You may or may not need epicanthoplasty I generally avoid epicanthoplasty if it does not interfere with fold creation. I's difficult to tell by photos alone whether your case would require epicanthoplasty. In general, larger folds need epicanthoplasty.
Helpful 3 people found this helpful
Book a virtual consultation
CONTACT NOW May 3, 2018
Answer: You may or may not need epicanthoplasty I generally avoid epicanthoplasty if it does not interfere with fold creation. I's difficult to tell by photos alone whether your case would require epicanthoplasty. In general, larger folds need epicanthoplasty.
Helpful 3 people found this helpful
Book a virtual consultation
CONTACT NOW
January 5, 2015
Answer: Asian blepharoplasty You can have a cosmetically pleasing result without epicanthoplasty. It really depends on YOUR surgical goals, and not your sisters'. Be sure to have your eyes evaluated by a board certified surgeon with expertise in these procedures.
Helpful
January 5, 2015
Answer: Asian blepharoplasty You can have a cosmetically pleasing result without epicanthoplasty. It really depends on YOUR surgical goals, and not your sisters'. Be sure to have your eyes evaluated by a board certified surgeon with expertise in these procedures.
Helpful
FIND THE RIGHT
TREATMENT FOR YOU