2026-05-25
Epicanthoplasty Reversal and Incisional Double Eyelid Revision Surgery
A case study of a 20s female patient who underwent epicanthoplasty reversal and incisional double eyelid revision to correct excessive caruncle exposure and loose eyelid lines.

* Basic Information
# Female in her 20s
# Medical History: Natural adhesion (non-incisional) double eyelid surgery, epicanthoplasty
# Current Status & Patient Requests: The eyelid lines have completely loosened, and the epicanthoplasty was overdone, making it look unsightly. I want to restore clear double eyelid lines and make the inner corners look less aggressive.
* Consultation
# Although she had double eyelid surgery in the past, the front part of the lines has become loose and appears buried.
# Since she desired a clear ‘in-out’ line, we planned an incisional double eyelid revision surgery to create a defined crease.
# The previous epicanthoplasty was excessive, leading to overexposure of the red inner flesh (lacrimal caruncle). We planned an epicanthoplasty reversal to create a more natural appearance.
* Surgical Plan
# Incisional Double Eyelid (Revision)
# Epicanthoplasty Reversal






* Post-operative Progress
# A clear ‘in-out’ line that is visible from the inner corner has been achieved.
# Natural-looking eyes were restored through epicanthoplasty reversal. In reversal surgery, it is crucial to accurately calculate the amount to be closed and to design and suture in a way that minimizes scarring.


Consultations and surgeries should be performed by a board-certified plastic surgeon!
The VIBE that comes from extensive experience.
Vibe Plastic Surgery, Lead Surgeon Young-moon Yoo
Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery depending on the individual, and caution is required.
Frequently Asked Questions
In what cases is canthoplasty revision surgery necessary?
Yes, canthoplasty revision surgery is necessary when the epicanthoplasty (inner corner eye surgery) has been overdone, leading to excessive exposure of the red inner corner (lacrimal caruncle). In this case, canthoplasty revision was planned to naturally restore the overly exposed lacrimal caruncle.
What kind of line can be created with incisional double eyelid revision surgery?
Incisional double eyelid revision surgery is suitable for creating a clear double eyelid line. In this case, incisional double eyelid revision surgery was performed to create an in-out line where the line is clearly visible from the front.
What are the important considerations for canthoplasty revision surgery?
When performing canthoplasty revision surgery, it is important to accurately calculate the amount to be closed, design to minimize scarring, and suture meticulously. This allows for the completion of natural-looking eyes.
What problems led this patient to decide on revision surgery?
This patient decided on revision surgery because the previously received double eyelid line had loosened and the epicanthoplasty was too excessive, making it look unsightly. They desired a clear line and natural canthoplasty revision.
What results can be expected after surgery?
Yes, after surgery, an in-out line that is clearly visible from the front can be achieved. Additionally, through canthoplasty revision, you can expect eyes with a naturally restored lacrimal caruncle that was previously overly exposed.