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Afternoon Plastic Surgery

Epicanthoplasty Revision (Reconstruction)

From 3,150,000 KRW/ surgery

Various methods are available for medial epicanthoplasty reversal, including V-Y advancement flap surgery, V-L double flap surgery, and reverse skin redraping. The most appropriate technique is selected based on the patient’s condition. Through dual reconstruction of the muscle and skin layers, the area is securely fixed to prevent separation after reversal. During surgery, the patient is shown a mirror to confirm whether they are satisfied with the degree of reconstruction. If the patient requests more or less closure after looking in the mirror, adjustments can be made accordingly.

90Consult Sessions

Surgery Overview

Average Surgery TimeApproximately 60~90 minutes
Recovery PeriodInitial Recovery : 5~7 days
Recommended Stay for Overseas VisitorsAround 7~10 days

AI-generated information for reference only. Please consult a doctor for accurate, personalized advice.

Before & After

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Eye+2Both the surgery and recovery have generally gone smoothly. There’s hardly any swelling, and the bruising seems okay too. I’m happy with it.^^Eye+2Ten years ago, I had epicanthoplasty and ptosis correction at a large, well-known plastic surgery clinic in Gangnam. At the time, I did not have much time, and because my friend had also gone to that clinic, I trusted it, made an appointment right away, and had the surgery.... As for the surgical results, the areas where the epicanthoplasty was done were opened unevenly on both sides, so the lacrimal caruncle on the right side was exposed and visible, and the area where the ptosis correction was done had been incised all the way to the outer corner of the eye, so the surgical scar was plainly visible. Of course, the lines were uneven as well. After enduring it and enduring it, ten years passed, and I truly could not leave it as it was any longer, so while visiting various clinics for consultations whenever I had time in order to undergo revision surgery, I came to visit Afternoon. ​ When I met the director and received a consultation, the atmosphere was so~ very different from the other clinics. When I had consultations at several places before that, the directors would take one look at my eyes and decisively say that it seemed they could fix things this way or that way, or they would interrupt me while I was speaking and start explaining, but Director Kim Ga-ram first listened 충분히 to my concerns and then shared his opinion. He listened to everything I had been worried about without interrupting me even once and explained one by one what was possible and what was not regarding my concerns. Because of that, it was the first time I truly felt that I had received a real consultation. When I finished the consultation and came out, I really felt relieved? I thought that I had received a good consultation without any lingering discomfort. Also, the consultation manager was truly kind, calm, and meticulous, and from the standpoint of someone receiving a consultation, I felt so comfortable that the consultation with the manager was so good that I could not help but choose Afternoon. ​ Oh, and while watching the director sit up several times during the surgery and carefully check my eyes with focus, I could truly feel that he was doing his very best for me, so I was deeply moved even during the surgery. The nurse was also truly kind and removed the stitches very carefully. Thank you very much! After the surgery was over and I came out, the swelling was so minimal that I found myself thinking, Can there really be this little swelling? It was amazing... Previously, after surgery, I had been so swollen that I could not even open my eyes, but this time there was so little swelling that it was genuinely surprising, and even my younger sibling was amazed. ​ Oh, and there is one more thing for which I was truly grateful to the director During the previous consultation, I had said that I wanted natural-looking eyes that did not appear obviously operated on, and as I was going into the operating room, I kept worrying, Would the director remember...? What if he forgot...? But before the surgery, the director asked me once again to tell him what parts I wanted to improve, and I was really... so, so grateful.. It felt as though he could clearly see right through the things I was worried about..? I could truly feel that the director sincerely cared for his patients, and from that point on, I was able to lie on the operating bed with peace of mind. As a result, both the epicanthoplasty reversal and the ptosis correction turned out far, far better than I had imagined, so I am extremely satisfied with the surgical results, and I would sincerely like to say thank you to Director Kim Ga-ram, who performed my surgery ^^Eye+2The director was so attentive and I am very grateful, so I came to write a review. It is only day 5, so the swelling is still quite severe, but I came to write a review. I will also write another review after all the swelling goes down, so I think this may be helpful for those considering line lowering. First of all, this is my fourth eye surgery. 10 years ago buried suture 6 years ago epicanthoplasty + lateral canthoplasty + incision 3 years ago line lowering Those are the procedures I had done. Originally, my eyes started with an in-line crease that became more visible toward the outer end, but because of excessive greed, the surgery 6 years ago turned out terribly, and I could not even look people in the eyes. I recovered somewhat after lowering the line 3 years ago, but my eyes continued to weigh on my mind. Even so, I endured it for several years. Because I had the memory of the surgery going badly, I could not easily decide to have surgery again. I was scared. Then, because I wanted to live looking pretty while I was still young, I started looking into eye surgery again. I visited many clinics, but there was no place that made me feel this was the one. Then I came to Afternoon as a last stop, and after consulting with the director, I felt that I should entrust it to him. If you are hesitating, I really hope you will make time to come and consult with the director. These are eyes you will live with for life. Anyway, that was a long introduction, but what I wanted was 1. Improvement of the fierce-looking impression caused by excessive epicanthoplasty 2. Improvement of the lateral canthoplasty scar 3. A line that starts as an in-line crease and becomes more visible toward the back Today (day 5) This was what I wanted, and I am very, very satisfied!! ^^ On the first day, the double eyelid line was exactly what I wanted, and the overall eye appearance felt so good, but right now it is quite swollen, so the double eyelid is not very visible.. In person, the overall look has become much softer, the sharp and intense feeling is completely gone, and I love it so much. I just wish the swelling would go down quickly ㅠㅠ And the director said that once the swelling goes down, the line will become visible again. I will bring review photos later after the swelling goes down. Today (day 5) I had the stitches removed from the double eyelid and lateral canthoplasty, and since it was possible to wash starting from day 4, it was very convenient. I will come back for the next review on the day I have the stitches from the epicanthoplasty removed.Eye+2Before surgery After surgery After suture removal, when I put the photos together in order, it is definitely incredibly different.. My friend’s double eyelid revision turned out so well, so I asked which clinic it was and looked it up, and it just so happened that they performed outer corner restoration surgery, so I really decided on the surgery all of a sudden!! Even until the day I went in for it, honestly I wondered if I was doing it for no reason..? but I think my image has changed dramatically. Even when I still had the stitches in, I had a strong feeling that the surgery had gone well and that the results would be good! haha It has only been 11 days, so there is still some swelling and scarring, and it feels slightly awkward, but I think the shape has been made very beautifully, and I can already imagine how the final result will look, so I am very satisfied! Thank you, Director, for taking such meticulous care I will recommend you to many people around me!!Eye+1I am a patient who had surgery with Director Kim Garam in March! ^.^* Rather than covering the inner corner to restore it, my goal was to remove the hook-shaped scar that had formed in front of the inner corner incision When I told the director during the consultation, he understood right away and gave me a confident answer that he would do it well, which made me trust him very much. I did not have much time, so after the consultation that same day, I made a reservation for surgery right away, had the consultation with the director on the same day, and went straight into surgery I told him I liked clear-looking eyes without the hook-shaped scar so the inner corner was not covered very much Because I like eyes that look open and clear with some inner corner exposure~ I am really satisfied with the surgical result! Before the restoration, they said many people regret it after surgery so I worried a lot ㅠㅠ Now I wonder why I worried By my standards, my impression also became much gentler! To say it again, I barely covered the inner corner at all!! Ah, it has been about 2 months since the surgery, and when I wear makeup, no one notices. Because of work, I started wearing makeup from 2 weeks after the surgery, and when I wore makeup, people generally could not tell. If anyone occasionally asked, I just said my eyes were a bit swollen due to an eye allergy, and everyone just said I see ㅋㅋ And now, when I wear makeup, no one can tell at all. When I remove my makeup, it is slightly red, but since I know that time is the cure for any raised area or redness, I am just planning to wait until 6 months!Eye+1I'm very satisfied with my medial canthal reconstruction surgery.Eye+1It has been nearly 10 years since I had epicanthoplasty, and during that time I was stressed because my lacrimal caruncle looked overly exposed ㅠ Because the asymmetry + visible lacrimal caruncle made me feel like my impression always looked harsh, I finally decided to undergo revision surgery ​ The reason I always hesitated before deciding on the surgery was that I was worried my eyes might look smaller as the inner corners were closed, but when I mentioned this concern to the director from the consultation, right before the surgery and even during the procedure, he carefully checked continuously and reflected my opinions well while asking for them ㅠㅠ ​ Comparing before and after, rather than feeling that my eyes became smaller at all, I can see that my impression looks gentler, so I am very satisfied There is still some red scarring left, but I am continuing to apply the medication, and they said they would provide 3-5 scar laser sessions as part of the aftercare, so I plan to keep receiving them consistently :) ​ The director, the consultation manager, and the nurses were all so kind, and they answered everything I was curious about so well !! Thank you so muchEye+1I was very stressed because the visible lacrimal caruncle was severe and the front line was too ㄷ-shaped, so while looking into medial epicanthoplasty revision, I decided to have the surgery!! There was almost no swelling in my eyes, and now the front line of my eyes looks so natural that I am satisfied~!! The director, the manager, and the desk staff were kind, thorough in looking after me, and the detailed explanation was very good haha I will diligently receive the scar laser treatment~!! I recommend medial epicanthoplasty revision it is the bestEye+1My impression has become much gentler hahaha I am so happy because it seems like everything I wanted has improved ​ I want to remove the tape quickly and try putting on makeup I am so curious about how I will look with makeup...!! ​ I hope it settles in nicely soon haha And I am also very satisfied because you have taken such great care of the aftercare!!! I just hope the scars fade wellㅠㅠEyeLast March, I underwent epicanthoplasty revision surgery with Director Kim Garam ❤️ About 8 years ago, I had epicanthoplasty, but the inner corners of my eyes became too square and looked a little too close together, which made me look somewhat fierce, so it had always been a concern of mine ㅜㅠㅜㅜ Even though a long time had passed, I still had major regrets, so I decided to have epicanthoplasty revision and, after looking into many places and receiving consultations, I chose Make Plastic Surgery Clinic! Above all, the price was relatively affordable, and I had heard that Dr. Kim Garam was very skilled at eye revision, so I made my decision... As a result, I am extremely satisfied! Personally, I wanted only a very slight amount of the inner corner to be covered, and even during the surgery, the doctor kept checking, showed me a mirror, and was truly delicate and meticulous, which gave me confidence! The attached photos are from before the surgery, after the surgery, the day my stitches were removed, and the last photo is from one month after the surgery! I am a little worried about the epicanthoplasty scar, but as time goes by, it seems to be gradually getting better, so I am waiting patiently ㅜㅠ I also worried a lot and looked up many reviews here and there, but I am posting a short review for those who are considering epicanthoplasty revision! I think this is not a simple surgery but truly delicate work! Please do not worry and receive revision surgery from Director Kim Garam! I always just kept thinking about it, but now that I had the surgery done well, my worries have disappeared too~❤️ Thank you, doctor~

Epicanthoplasty Revision

If epicanthoplasty did not produce the desired effect or problems arise from scars from a previous epicanthoplasty, these can be improved through revision surgery.

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Why Afternoon Plastic Surgery specializes exclusively in revision canthoplasty

For revision canthoplasty, the canthoplasty must be improved or skin grafting may need to be combined to supplement deficient areas. In such cases, the specialist's expertise is extremely important.

Afternoon's Epicanthoplasty Revision Technique

These are the four principles of epicanthoplasty revision promised by Afternoon Plastic Surgery. As this is revision surgery, we strive to give each patient the best possible eyes.

✓ We pursue detail in epicanthoplasty revision

With Director Kim Garam's meticulous approach, we perform epicanthoplasty revision with added attention to detail. Focusing on design, we create eyes that best suit your face.

✓ Among the three epicanthoplasty revision methods, we apply the procedure most suitable for each patient

Afternoon Plastic Surgery never insists on only one surgical method. Because circumstances and cases vary, we provide customized surgery through a variety of surgical techniques.

✓ During surgery, we show the patient a mirror and decide together while discussing the shape and degree of closure

The most important aspect of eye surgery is satisfaction. Through communication with patients, Afternoon Plastic Surgery designs and performs surgery for the most satisfying eye shape.

✓ Thorough scar care with PRP scar injections and scar laser treatment

One of the important factors in epicanthoplasty revision is thorough scar care. We minimize pain, swelling, bruising, and more, and provide scar care according to the treatment process.

Epicanthoplasty Techniques by Condition

Afternoon Plastic Surgery emphasizes the distinctiveness and special features of its epicanthoplasty revision. While most apply one surgical method to various cases, Director Kim Garam's epicanthoplasty revision applies different surgical techniques depending on the case.

V-Y Advancement Flap

✓ When substantial closure of the inner eye corner is needed

✓ When creating a pointed inner eye corner

✓ When you want to eliminate only the epicanthal fold without changing the degree of lacrimal lake exposure

✓ When you want to minimize postoperative scarring

V-L Double Flap

✓ When the inner eye corner is hook-shaped

✓ When you want to create a rounded inner eye corner

✓ When you want to remove depressed scars from epicanthoplasty

✓ When converting an out-fold double-eyelid line to an in-fold line

V-Y and Z Flap

✓ Used to close the inner eye corner while creating an epicanthal fold

Afternoon Epicanthoplasty Revision Applied to Actual Cases

❶ V-Y Advancement Flap

An incision is made in a V shape along the eye margin, then the inner and outer flaps are each sutured in a Y shape, considering the degree of inner corner closure, shape, position, and other factors.

Advantages

✓ Can provide substantial closure. ✓ Suitable for creating a pointed inner eye corner. ✓ Scars are inconspicuous. ✓ The procedure is simple and the operating time is short. ✓ Can eliminate only the epicanthal fold while maintaining the degree of lacrimal lake exposure.

Disadvantages

✓ Removal of inner sutures can be somewhat difficult. ✓ It is relatively difficult to make diverse fine adjustments to the shape of the inner eye corner. ✓ There are limitations in removing existing epicanthoplasty scars.

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When substantial closure of the inner eye corner is required

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When creating a pointed inner eye corner

❷ V-L Double Flap

This method rotates the V flap to cover the lacrimal lake and pulls the L flap to fill the remaining area. It can effectively remove existing epicanthoplasty scars.

Advantages

✓ Suitable for rounding a hook-shaped inner eye corner. ✓ Allows diverse fine adjustments to the shape of the inner eye corner. ✓ Can close the lacrimal lake while creating an epicanthal fold. ✓ Makes it easy to convert an out-fold line to an in-fold line. ✓ Can remove existing epicanthoplasty scars more effectively.

Disadvantages

✓ Difficult to provide substantial closure. ✓ Scars may be noticeable. ✓ Fine wrinkles may develop beneath the eye while pulling the L flap. ✓ The operating time is longer.

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When the inner eye corner is hook-shaped

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When a rounded inner eye corner is desired

❸ V-Y and Z Flap

This method adds Z-plasty after V-Y advancement flap surgery to create an epicanthal fold. In addition to creating a more definite epicanthal fold, it allows diverse adjustment of the inner eye corner shape.

Advantages

✓ Can create a more definite epicanthal fold. ✓ Allows diverse fine adjustments to the shape of the inner eye corner.

Disadvantages

✓ The operating time is longer. ✓ Relatively more scarring remains.

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When closing the inner eye corner while creating an epicanthal fold

Key Points of Epicanthoplasty Revision Surgery!

Due to the nature of canthoplasty, scars remain after surgery. In addition to using various surgical techniques to create beautiful eyes, a care program that provides long-lasting results and minimizes scars is also an important point.

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POINT 01 Double Reconstruction for Epicanthoplasty

Depending on the individual's epicanthoplasty complications, reconstruction is performed with one-on-one customized reconstruction and preventive measures.

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POINT 02 Stem Cell Growth Factor Injection

At the final stage of surgery, stem cell growth factors are injected around the eye area.

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POINT 03 EGF AFTER CARE

An ampoule containing a high concentration of EGF is applied to the skin surface for scar care.

Afternoon Plastic Surgery's Scar Management System

At Afternoon Plastic Surgery, we consider the aftercare system as important as the surgery itself. To reduce scarring as much as possible, we inject PDRN preparations and provide laser treatment.

PDRN

PDRN is injected before surgery to help suppress scar formation.

LADD-EGF

After surgery, EGF is delivered through fractional laser treatment and LADD.

LASER

Laser treatment is performed after surgery to minimize scar formation.

HOME CARE

After surgery, scars are continuously cared for at home with scar ointment.

Afternoon Plastic Surgery's Eye Surgery Process

STEP 1 Select Your Desired Eyes

Through a direct consultation with the chief director, choose an eye shape that suits you and establish a surgical plan accordingly.

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Innocent eyes: Natural, round eye shape with an innocent yet clean image

Chic eyes: Slightly upturned outer corners for a bright, open-looking eye shape with a chic and sophisticated image

Cute eyes: Large, puppy-like eyes with a cute and charming image

STEP 2 Eye Shape Design

Before surgery, through sufficient consultation with an eye revision specialist, we accurately analyze the cause of the initial surgery's failure and determine the surgical method suited to the individual through detailed examination.

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STEP 3 Customized Eye Surgery 01

In accordance with the new design, the existing line is refined and unnecessary scar tissue is removed. As needed, a suitable surgical method—natural adhesion, buried suture, incision, or ptosis correction—is performed to create a new double-eyelid line.

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STEP 4 Customized Eye Surgery 02

Additional canthoplasty and aegyo-sal surgery are performed as needed according to the new design.

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Director Kim Garam's Surgical Q&A (VIDEO COUNSELING CONTENTS)

Q. What is special about eye surgery?

Q. What are the benefits of the mini lifting procedure you emphasize?

Q. What are the benefits of the petite cosmetic procedures you emphasize?

Q. Why do you specialize in eye surgery?

Q. What is special about eye revision surgery?

Q. What is special about revision canthoplasty?

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