Is it possible to remove epicanthal fold without raise the crease? (photos)

Question

hi i had crease put in about 10 years, since i experienced vision change, and my left was never the same again. i do have a prominent epic fold, which make my eyes seem far apart. is that possible to remove epic fold with change the crease? i worry about any further procedure on the eyes would affect my eyes again. also i m thinking of having rinoplasty, will raise the nose bridge, rectify my epic fold problem? i have lots of fat around the eyes

Chase Lay, MD · Answer

Answer to your rhinoplasty question. It's not going to change the way the inner corners of your eyes look. However, it will give an overall different appearance to the eyes and nose together. Changing your medial epicanthal fold can be done but be very careful. If there's not muchskin left at the medial epicanthal area of the eyelid then you're likely to just create more scarring. It is possible to get the existing trees to taper downward into the corner but I would be very cautious. I would only seek the Advice of surgeons who obviously perform this type of surgery regularly.Chase lay M.D.

Luis A. Cenedese, MD, FACS · Answer

Other surgeons have advised you that it is possible to diminish the epicanthal fold without affecting the height of the eyelid crease.A rhinoplasty with raising of the dorsum can make the eyes appear less wide apart.Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.

Johnny Chung, MD, FACS · Answer

Yes, there are procedures to remove the epicanthal fold without disturbing your crease. Surgery to create the crease and remove the epicanthal fold should not in any way affect your vision. I recommend finding a board certified plastic surgeon who has a significant amount of experience with Asian eyelid surgery in your area.

Suzanne Kim Doud Galli, MD, PhD, FACS · Answer

It is possible to adjust the epicanthus without adjusting the crease. However, you might consider revising your eyelids and brows because there is a slight asymmetry apparent.

Kimberly Lee, MD · Answer

It is possible to improve the epicanthal fold without changing the height of the crease; however, given your past experience, it needs to be performed very carefully.  Please consult with a board certified specialist who can assist you with achieving the results you seek.

Is it possible to remove epicanthal fold without raise the crease? (photos)

Answers (5)