Does Raising the Nasal Bridge Have Essentially the Same Effect As Epicanthoplasty?

I'm scheduled to have Asian blepharoplasty (double eyelid surgery) in conjunction with epicanthoplasty to widen the eyes a tad (nothing drastic). However, I'm also planning on raising my nasal bridge next year. When I pull forward on my nasal skin at the bridge, I notice that the eyes widen all by itself. Should I hold off on the epi, just get the double eyelid done for now, do the nose next year, and then gauge whether I need an epi, at that point in time? Thanks in advance.

Doctor Answers 4

Raising your bridge will not affect epicanthal folds

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The amount of nasal bridge augmentation in that area will not affect the medical epicanthus. Raising the bridge of the nose CAN make the eyes look closer together, so in some cases you may need to under-augment the bridge to prevent this. 

You'll need a separate epicanthoplasty procedure to remove the canthal tissue.

Beverly Hills Plastic Surgeon
4.5 out of 5 stars 79 reviews

Nasal bridge affecting epicanthal folds?

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I don't think that raising the nasal bridge will have a huge impact on your epicanthal folds and they would not be considered equivalent in fixing any canthal issues. My recommendation is always to be conservative in my approach, to never burn any bridges, and try to create the most natrural results... Armed with that philosophy, I would recommend just like you suggested and tackle the blepharoplasty first and hold off on the medial canthoplasty until the nasal implant is in place. My thinking is that it is easier to reverse th nasal bridge work than the medial epicanthal fold. And by staging it, you minimize the possibility that you would need to revise the medical canthus at all. good luck, hope things go well

George Min, MD
Bellevue Plastic Surgeon
5.0 out of 5 stars 30 reviews

Nasal bridge enhancement can make eyes appear wider temporarily

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By placing an implant, or an injectable filler, to raise your nasal bridge, the illusion of wider eyes may be seen temporarily.  However, the structure governing the actual width of the eye will eventually bring the eye openings back as the skin over the bridge relaxes.  This usually takes 3 to 6 weeks to experience.  If you have strong epicanthal folds, I suggest you consider the surgical epicanthal release for a long term result.

Double eye lid surgery

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Raising the nasal bridge will have very little effect on your epicanthal fold. You have to raise the nasion area to affect it. Double Z Plasty for epicanthal fold can be done any time you decide.

Samir Shureih, MD
Baltimore Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.