Lateral Canthoplasty is done the least after Double eyelid crease formation and medial epicanthoplasty

This is a question that I answered for a patient regarding whether she should get a lateral epicanthoplasty along with a medial epicanthoplasty and double eyelid crease formation.  Lateral Canthoplasty is done the least after Double eyelid crease formation and medial epicanthoplasty.  The are good reasons for this.  The lateral canthal area is not the area that really defines the differences between an Asian and a Caucasian Eyelid.  The medial canthal area is the area where Asians mostly have a difference.  It is thought to be due to a lack of development of the nasal bridge or other arrested point.  When you are developing all people have epicanthal folds.  These folds disappear as you develop in the womb.  In Asians, approximately 40-70%, have a persistent fold and they are called epicanthal folds.  The lateral canthi don’t have major differences between the two groups.   Hence surgical correction of the medial epicanthal folds is where the most difference will be noticed.  That is also the reason why doing a lateral epicanthoplasty is a lot likely when one does Asian Blepharoplasty.  Another reason that the lateral epicanthoplasties are not done is because they can readhere back to the orginal shape and the success rate is also a lot lower than compared with the medial epicanthoplasty. From your pictures, you have a wide enough horizontal dimension.  I think a double eyelid crease procedure and a little medial epicanthoplasty will really improve the appearance of your eyes. Here is video on Asian Blepharoplasty and Medial epicanthoplasty.

I hope that was interesting for you!

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

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