Is epicanthoplasty a good option for me? (Photo)

Question

I received a consultation for double eyelid surgery, but was also recommended epicanthoplasty. I do not want dramatic results and am unsure if I would benefit from it. would it make the downward folds at my inner corners less exaggerated without changing my eye shape dramatically? Attached a photo pulling my skin back just slightly with my finger. Can an epi produce these results? Is it worth it?

Sanjay "Jay" Keni, MD · Answer

Hi Np48,I would not recommend the epicanthoplasty if you are not seeking dramatic results.  I understand you would want the result you are achieving by pulling with your finger, but you would have to accept however the final result turns out, which would likely be more exaggerated.Best wishes,Dr. Jay

Kenneth D. Steinsapir, MD · Answer

In can reduce the appearance of the epicanthal fold.  However, it can also produce visible scaring in the middle of your face.  The result can be very unsatisfactory and uncorrectable. For that reason, it would be much more prudent to get double fold surgery that increase the appearance of the eyelid platform while at the same time, leaves the epicanthal folds alone.  If the result is satisfactory, you did not need to risk the epicanthoplasty.

Elba Pacheco, MD · Answer

Hi and thank you for reaching out for advise before proceeding with your eyelid surgery. I have been an Oculoplastic surgeon for over 25 years and I have never seen a surgically altered epicanthal fold that looked better than the original fold. So I would highly recommend that you pursue only the double eyelid surgery and say no to the epicanthoplasty. Make sure the surgeon you are consulting is an Oculoplastic surgeon who is highly experienced in Asian blepharoplasty. 
If you are seeking a natural result that preserves your eye shape, the blepharoplasty alone will accomplish that the best. Good luck! Dr Elba Pacheco

Darab Hormozi, MD · Answer

Thank you for your question. Based on your photo, epicanthoplasty is the proper procedure to achieve the result you want. It needs to be done by a very experienced surgeon in Asian eyelid. Good luck

Francis (Frank) William Rieger, MD (retired) · Answer

There is no question that you have very prominent epicanthal folds.  This is very commonly seen in the Asian eyelid structures.  You will have to decide whether you want to transform this very unique feature that you have and minimize this very attractive appearance bilaterally.  If you do, choose a quality Plastic Surgeon to assist with this surgery.Good luck to you.Frank Rieger M.D.  Tampa Plastic Surgeon

Is epicanthoplasty a good option for me? (Photo)

Answers (5)