Consulting doctor:

Dr. Nguyen Thi Ly Na, Senior Specialist

Over 10 years of experience in oculoplastic and facial plastic surgery.

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"This article clarifies important issues to consider before undergoing outer corner eye surgery, particularly the difference between enhancing the length of the eyelid fissure and addressing the factors that make the eyes appear smaller. Professionally, I want to emphasize that not every case of short or upturned outer corners requires surgery. The doctor must assess the structure of the inner corner, the support of the lower eyelid, and the protective function of the eyeball before making a recommendation. The goal is not only to change the shape of the eyes but also to respect anatomical limits and maintain the normal function of the eyelids."

Dr. Nguyen Thi Ly Na, Senior Specialist

What is Outer Eye Corner Expansion? Important Things to Know Before Undergoing the Procedure

Having short horizontal eyes, narrow outer corners, or upward slanting eyes can sometimes make the overall appearance less balanced with the face. To improve these features, many women begin to explore the method of outer eye corner expansion to make their eyes look longer, more elegant, and harmonious.

However, not all cases of small eyes or upward slanting outer corners are suitable for this method. The outer eye corner area has a complex anatomical structure that is directly related to the shape of the eyelids and the ability to protect the eyeball. Therefore, the choice of technique must be carefully evaluated by the doctor before proceeding.

What is outer eye corner expansion, who should undergo it, how long is the recovery process, and what should be noted to minimize risks? Dr. Eye will help you explore these details in the article below.

1. What is Outer Eye Corner Expansion?

Outer Eye Corner Expansion (Lateral Canthoplasty) is a surgical procedure that reshapes the outer eye corner to adjust its position and may increase the horizontal length of the eyelid fissure. Depending on the anatomical structure, the doctor may also adjust the tilt of the outer corner to create a more balanced eye shape.

The outer eye corner is the junction between the upper and lower eyelid edges, located towards the temple. This area is supported by a system of connective tissue and outer eye corner tendons, which play a role in maintaining the position of the eyelids as well as the contact between the eyelids and the surface of the eyeball.

Unlike the thought…The idea of medial epicanthoplasty is not simply to extend the skin at the outer corner of the eye; the surgery may involve adjusting and securing the supporting structures in this area.

The goal of the procedure is not to make the outer corner of the eye as wide as possible, but to create changes that are in harmony with the existing characteristics of the eyes while maintaining the ability to open and close and protecting the eyeball.

In appropriately indicated cases, widening the outer corner of the eye can bring about the following changes:

• Increased horizontal length of the eyelid fissure, making the eyes appear longer and more open.
• Adjustment of the tilt of the outer corner of the eye in cases where the outer corner is angled upward.
• Improvement in the symmetry between the two outer corners of the eyes when anatomical features allow.
• Creation of harmony between the shape of the eyes and the overall proportions of the face.

However, the degree of change varies among clients and needs to be determined through a direct consultation.

2. Which cases should consider widening the outer corner of the eye?

One of the important factors determining the surgical outcome is accurately identifying the structural characteristics of the eyes that need adjustment.

Not every pair of small eyes requires widening of the outer corner. In many cases, the reason the eyes appear small may stem from excess skin on the upper eyelid, a hidden eyelid crease, ptosis, or a low brow position.

2.1. The eyesShort Horizontal Width

Eyes with a short horizontal slit can create a feeling of being small or unbalanced in relation to the facial proportions.

If the structure of the outer corner of the eye and the supporting tissues allow, the doctor may consider a method to lengthen the eyelid slit to improve the horizontal width of the eyes.

It is important to note that the extent of widening is always limited by anatomical constraints. Attempting to excessively lengthen the outer corner of the eye may increase the risk of distorting the eye corner or affecting the position of the lower eyelid.

2.2. Upturned Outer Corners

In some individuals, the outer corner of the eye is significantly higher than the inner corner, resulting in a pronounced slant to the eyes.

In this case, the doctor may assess the possibility of combining the widening of the outer corner with adjusting the position of the outer corner of the eye.

The goal is to improve the slant in harmony with the facial contours, not necessarily to create a horizontal eye shape or lower the outer corner for all clients.

2.3. Asymmetrical Outer Corners

Differences in the length of the eyelid slit or the position of the outer corners between the two sides can make the eyes appear uneven.

If the cause stems from the structure of the outer corner of the eye, the doctor may consider the possibility of an adjustment intervention.

However, the two eyes are not completely identical in natural structure. Therefore, it is essential to clearly discuss the level of improvement that can be achieved before deciding on surgery.

2.4. Clients Want to Adjust Eye Shape While Maintaining Natural Features

Many women desire longer and more balanced eyes without significantly altering their existing features.

InIn this situation, the doctor needs to assess the length of the eyelid fissure, the position of the inner corner of the eye, the structure of the lower eyelid, and the facial proportions to determine whether intervention is truly necessary.
At Dr. Eye, we prioritize choosing methods based on the actual condition of each client, rather than applying a single eye shape or technique for everyone.

3. Cases Requiring Caution Before Medial Epicanthoplasty

Expanding the outer corner of the eye is a surgery that involves the supportive tissue of the eyelids, so it should not be performed solely based on the desire to change the external appearance.
Some cases that require in-depth evaluation before considering intervention include:
Individuals with dry eye or ocular surface disease: Changing the position of the eyelids may affect the ability to protect the eye’s surface. If not fully assessed, the condition of dryness or irritation may worsen.
Individuals with protruding eyes or incomplete eyelid closure: These are characteristics that need careful consideration by the doctor due to the risk of affecting the contact between the eyelids and the eyeball.
Individuals with loose lower eyelids or those who have previously undergone eye surgery: Scar tissue, the condition of eyelid support, and anatomical changes after previous surgery may influence the choice of technique.
Individuals with uncontrolled eye disease or inflammation: Health issues need to be examined and addressed appropriately before considering cosmetic surgery.

In particular,If the eyes appear small primarily due to true ptosis, excess skin on the upper eyelid, or sagging brows, widening the outer eye corner may not address the underlying cause.

Therefore, before proceeding, an in-person examination plays a crucial role in determining the indications and limitations of the intervention.Each method addresses a different set of issues and cannot completely replace one another.

For example, if the outer corner of the eyes appears droopy due to excess skin on the upper eyelid, the doctor may consider addressing the excess skin instead of widening the outer eye corner. Conversely, if the main issue is the short length of the eyelid slit due to the structure of the eye corner, simply creating a new eyelid crease may not meet the desire to change the horizontal width of the eyes.

Combining multiple methods should also be based on professional recommendations; additional interventions should not be performed solely to create a larger change.
Are you unsure which method is suitable for your eyes?

Please leave your phone number in the form below. The Dr. Eye team will contact you to understand your current condition and assist you in scheduling a consultation with the doctor to determine the appropriate method.

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5. How is the outer eye corner widening performed?

The surgical process may vary depending on the chosen technique and the client’s eye structure condition.

In principle, the procedure should focus on both the aesthetic aspect and the functional maintenance of the eyelids.

Step 1. Examination and assessment of the eye corner structure

The doctor examines the position of the outer eye corner, the tilt of the eyelid slit, the condition of the lower eyelid, and the supporting tissue system.

At the same time, the clientDiscuss your desire to change the shape of your eyes, the technical limitations, and potential risks involved.

This is a necessary step to assess the suitability of the method.

Step 2. Pre-Surgery Health Check

Clients will provide information about their health, medical history, medications they are taking, and undergo necessary tests as directed.

Factors such as eye conditions, history of eyelid surgery, blood clotting status, and related health issues need to be thoroughly discussed with the doctor.

Step 3. Measurement and Determination of the Shaping Plan

After evaluating the anatomical features, the doctor will determine the location and extent of the planned adjustments.

The degree of extension needs to be considered to avoid placing excessive tension on the inner corner of the eyes while minimizing impact on the position of the lower eyelid.

Step 4. Performing the Surgery

Depending on the case, the doctor may use an appropriate anesthesia method, proceed with the shaping, and secure the outer corner structure according to the chosen plan.

The suturing process should focus on the continuity of the eyelid margin and the shape of the outer corner, as these factors affect both aesthetics and the protective function of the eyeball.

Step 5. Post-Operative Monitoring and Care Instructions

After the procedure, clients will be monitored for the condition of the eye area and given home care instructions.

The follow-up schedule, timing for suture removal if applicable, and lifestyle considerations will be guided by the doctor based on the method used and recovery progress.

6. Is Outer Corner Eye Surgery Safe?

Is it not?

This is one of the concerns many clients have before deciding to undergo surgery.

Outer corner eye surgery can be performed safely when clients are selected based on appropriate indications, the technique is carried out by a qualified doctor, and the post-operative care is closely monitored. However, the method still carries risks associated with eye surgery.

Some potential risks include:

Swelling and bruising: These are reactions that may occur in the early stages after the procedure. The degree and duration of improvement vary from person to person.

Asymmetry of the outer corners: Improper adjustments or uneven tissue healing may result in the shapes on both sides not achieving the desired symmetry.

Scarring and pulling at the outer eye: Scar tissue may alter the shape of the outer corner, affecting the aesthetic outcome or causing a reduction in the length of the eyelid slit compared to the initial stage.

Exposure of the mucosa, lower eyelid eversion, or distortion of the outer corner: These are complications that require special attention as they may affect the interaction between the eyelid and the eyeball.

Dry eyes, irritation, or difficulty fully closing the eyes: Changes in eyelid position may impact the protective function of the eye surface, especially in individuals with pre-existing risk factors.

Additionally, there may still be occurrences of bleeding, infection, suture dehiscence, or the need for corrective intervention.

Some studies on outer corner eye surgery haveemphasize the importance of preserving the shape of the inner corner of the eye, maintaining the continuity of the eyelid margin, and securing the tissue in the correct position to minimize complications.

Therefore, accurate indications and techniques that align with the anatomical structure are more important than attempting to maximize the outer corner of the eye.

7. How Long Does It Take for the Outer Corner of the Eye to Heal?

The recovery time depends on the extent of the intervention, the surgical technique, the condition of the tissue, and the individual’s healing ability.

According to medical literature on eyelid surgery, the initial recovery process may take approximately 2 to 4 weeks. However, this is only a reference time and does not mean that the shape of the outer corner of the eye is completely stable.

In the First Few Days

The outer corner of the eye may experience swelling, bruising, a feeling of tightness, or mild discomfort. The doctor will provide guidance on care, hygiene, and medication if necessary.

Clients should not attempt to manipulate, stretch, or check the sutures by rubbing the eye area.

In About 1 to 2 Weeks

The swelling and bruising typically tend to improve gradually. Clients need to return for follow-up appointments for the doctor to assess the healing progress and the condition of the outer corner of the eye.

It is not advisable to rush to evaluate the aesthetic results at this stage as the tissue is still healing.

In About 2 to 4 Weeks

Most initial recovery signs may become noticeably reduced. However, the softness of the tissue, the shape of the scar, and the stability of the outer corner of the eye may continue to change in the following months.

Therefore, the final results need to beThe doctor evaluates at the appropriate time.

8. Post-Operative Care After Medial Epicanthoplasty

Following post-operative care guidelines contributes to supporting the healing process and minimizing unnecessary impacts on the treated area.

In the initial phase, you should pay attention to:

• Use medications and clean the eye area as directed by your doctor.
• Avoid rubbing your eyes, pulling at the outer corners, or directly impacting the suture line.
• Limit eye makeup until permitted by your doctor.
• Avoid vigorous activities and any actions that may risk bumping your eyes during recovery.
• Keep your head elevated while resting if advised.
• Temporarily stop using contact lenses until your doctor confirms it is safe to resume.
• Attend follow-up appointments as scheduled to monitor the condition of the eye corners.

In particular, if you experience rapidly increasing pain, severe swelling, unusual discharge, fever, difficulty closing your eyes, or any symptoms affecting your vision, contact your doctor for timely evaluation. In cases of severe pain or sudden vision loss, emergency examination is necessary.

Do not self-medicate or apply home remedies without professional guidance.

9. Will Medial Epicanthoplasty Leave Scars?

Any surgical method that creates an incision on the skin has the potential to leave scars.

With medial epicanthoplasty, the visibility of the scar depends on the location of the intervention, the suturing technique, the tension of the tissue, and the characteristics of the skin.The healing process and post-operative care.

If the tissue around the outer corner of the eye experiences significant tension or pulling during recovery, the scar line may become more pronounced and affect the shape of the eye corner.

Therefore, it should not be understood that medial epicanthoplasty is a method that leaves no scars at all.

During the consultation, the doctor should clearly discuss the proposed incision location, the possibility of scar formation, and the factors that may affect the aesthetic outcome.

10. Does medial epicanthoplasty have long-lasting results?

The results of outer corner eye surgery can be long-lasting due to the method’s impact on the tissue structure at the eye corner.

However, the shape of the eyes may still change under the influence of the healing process, tissue changes with age, or individual anatomical characteristics.

In some cases, the phenomenon of pulling or tissue position changes may reduce the degree of widening compared to the initial results.

Therefore, it cannot be asserted that all cases will maintain permanent results or will not require adjustments later.

Before surgery, clients should receive specific consultation regarding the expected level of improvement and potential limitations they may encounter.

11. How much does medial epicanthoplasty cost?

The cost of medial epicanthoplasty depends on the anatomical condition, the level of adjustment needed, the technique indicated, and factors related to the treatment process.

For clients who have previously undergone surgery in the eye corner area or have scar tissue, an assessment and method selection should be conducted.The case may be more complex than one that has not undergone intervention.

Therefore, one should not choose a method solely based on the advertised price.

Before making a decision, you need to be clearly informed about the proposed method, costs, related fees, and the postoperative follow-up plan.

Do you want to learn about the suitable method and costs based on your eye condition?

Please leave your phone number in the consultation form. Dr. Eye will contact you to provide initial information and arrange an appointment with the doctor.

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12. Why is it necessary to have a thorough examination before deciding to widen the outer eye corner?

A pair of eyes that appear small, short, or unbalanced can stem from various causes.

In younger individuals, the issue may sometimes relate to the congenital structure of the eyelid fissure and eye corner. Meanwhile, in middle-aged women, excess skin on the upper eyelid, sagging brows, under-eye bags, or ptosis can simultaneously affect the appearance of the eye area.

If only the external shape is assessed without correctly identifying the cause, the chosen method may not meet the client’s expectations.

At Dr. Eye, we focus on a comprehensive assessment of the eye area’s structure before developing a personalized treatment plan.

During the examination, the doctor evaluates the condition of excess skin, eyelid folds, brow position, eye openness, and related features to assessdetermining the necessary method.

In cases concerning medial epicanthoplasty, important factors include the position of the inner corner of the eye, the support of the lower eyelid, the ability to close the eyes, and the correlation between both eyes.

If the main issue arises from excess skin on the upper eyelid or sagging brows, the doctor may consider more suitable methods such as Upper Eyelid Surgery or Brow Lift.

This is also why Dr. Eye prioritizes accurate assessment of the condition, appropriate intervention, and maintaining harmony with the natural contours of the face.

13. Frequently Asked Questions About Medial Epicanthoplasty

Does medial epicanthoplasty hurt?

During the surgery, clients are provided with appropriate anesthesia to manage pain. After the anesthetic wears off, the treated area may feel tight, slightly sore, or uncomfortable. The level of sensation varies from person to person.

Does medial epicanthoplasty make the eyes look bigger?

The procedure can help the eyes appear larger or longer by increasing the horizontal length of the eyelid opening. However, the degree of improvement depends on the structure of the inner corner of the eye and anatomical limits; not every case will achieve a noticeable change.

Does medial epicanthoplasty affect vision?

The goal of cosmetic surgery for medial epicanthoplasty is not to correct vision. However, complications affecting the eye surface or eyelid function may impact eye health. Therefore, a thorough examination and proper execution are necessary.correctly indicated.

Does medial epicanthoplasty help reduce eye-area wrinkles?

Medial epicanthoplasty primarily affects the shape of the outer eye corner and the length of the eyelid fissure; it is not a specialized method for treating eye-area wrinkles. If the main concern is crow’s feet due to muscle activity or skin aging, the doctor needs to assess a more suitable solution.

Should medial epicanthoplasty be combined with upper eyelid surgery?

The two procedures can be considered together in some cases when clients have both eyelid crease issues and eyelid fissure length concerns. However, the combination should be indicated after examination and is not a mandatory choice.

How long after medial epicanthoplasty can one resume normal activities?

Some clients may return to light activities after about a week, depending on the level of recovery. Activities that put pressure on or pose a risk to the eye area should be limited for a longer period as per the doctor’s guidance.

Is medial epicanthoplasty suitable for middle-aged women?

Age is not the only factor determining the indication. For middle-aged women, the doctor needs to further assess excess skin, the support level of the lower eyelid, dry eye conditions, and changes due to aging before considering intervention. In many cases, other eye rejuvenation methods may be more appropriate.

14. Consultation for Medial Epicanthoplasty with Specialized Doctors at Dr. Eye

Medial epicanthoplasty is a surgical method that can improve the length and shape of the outer eye corner in suitable cases. However, the aesthetic results are not onlyIt depends on the degree of extension as well as the balance, natural appearance, and ability to maintain normal eyelid function.

Therefore, instead of choosing a method solely based on reference images, you should have a direct examination by a doctor to determine the cause of the asymmetry in your eyes and receive appropriate improvement advice.

At Dr. Eye, a specialized clinic for eye-area rejuvenation in Ho Chi Minh City, we focus on thorough examinations, meticulous measurements, and developing a personalized treatment plan based on each client’s eye area structure.

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Are you interested in outer corner eye surgery, eyelid surgery, or eye rejuvenation but unsure which method is suitable?

Please fill in your name and phone number in the form below. The Dr. Eye team will contact you to understand your current condition and assist you in scheduling an appointment with the doctor.

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Dr. Eye | Specialized Clinic for Eye-Area Rejuvenation

Address: 07 Nguyen Co Thach, An Khanh Ward, Ho Chi Minh City.

Website: https://dreye.vn/

The information in this article is for reference only and does not replace direct examination, diagnosis, and treatment recommendations from a doctor. The methods and treatment results depend on the characteristics of each client.

Reference Professional Materials

1. Kim YJ andco-authors. Cosmetic Lateral Canthoplasty: Preserving the Lateral Canthal Angle. Archives of Plastic Surgery, 2016. https://pmc.ncbi.nlm.nih.gov/articles/PMC4959973/
2. Chae SW and co-authors. Cosmetic Lateral Canthoplasty: Lateral Canthoplasty to Lengthen the Lateral Canthal Angle and Correct the Outer Tail of the Eye. Archives of Plastic Surgery, 2016. https://pmc.ncbi.nlm.nih.gov/articles/PMC4959974/
3. Cleveland Clinic. Canthoplasty: How To Prepare Before Surgery. https://my.clevelandclinic.org/health/treatments/24828-canthoplasty
4. American Academy of Ophthalmology, EyeWiki. Canthoplasty. https://eyewiki.aao.org/Canthoplasty