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Guide to
Epicanthoplasty

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Are you interested in changing the shape of your eyes? Do you ever see someone with big, beautiful eyes and think, “I wish my eyes were more like that?” 

If so, we’ve got good news for you. Eye enlargement surgery, also known as epicanthoplasty, can help you achieve the eye shape you desire. This cosmetic procedure is designed to change or widen your eye shape, enhancing your overall appearance. But what exactly is epicanthoplasty, and who should consider this type of surgery? This guide will walk you through everything you need to know.

Related: Can Surgery Make Your Eyes Bigger?

What is Epicanthoplasty?

Epicanthoplasty, often referred to as medial or lateral epicanthoplasty depending on the specific area of focus, is a specialized surgical procedure designed to create larger, more aesthetically pleasing eyes by lengthening the visible part of the eye. This is achieved by modifying the inner or outer corners of the eyes.
Asian girl with great double eye-lids and a gre background

Types of Epicanthoplasty

There are two primary types of epicanthoplasty, each targeting different areas of the eye to achieve specific aesthetic goals:

1. Medial Epicanthoplasty (Inner Corner Eye Surgery):

The most common approach is medial epicanthoplasty, which focuses on the inner corners of the eyes, known as the medial canthus. This procedure involves making precise incisions to remove excess skin and tissue, exposing more of the inner eye. The result is a broader, more open appearance, making the eyes look larger and more symmetrical. This type of epicanthoplasty is particularly effective for individuals with prominent skin folds that obscure the inner corners of their eyes.
Medial Epicanthoplasty

2. Lateral Epicanthoplasty (Outer Corner Eye Surgery):

Lateral epicanthoplasty targets the outer corners of the eyes, known as the lateral canthus. The procedure aims to elongate the eye horizontally by removing or repositioning tissue at the outer edges. This can reduce droopiness or slanting of the eyes, giving them a more youthful and alert appearance. Lateral epicanthoplasty is ideal for those looking to improve their eyes’ overall shape and contour, making them appear broader and more proportionate.
lateral epicanthoplasty

To figure out which type of epicanthoplasty is right for you, you’ll need to set up an appointment with a cosmetic eye surgeon. It’s important to choose a surgeon who is experienced in both procedures so you can achieve the best results possible.

Contact Wave Plastic Surgery today to schedule your consultation at 888-674-3001.

Related Content: Changing Your Eye Shape With Wave Plastic Surgery

What Is The Epicanthal Fold?

The epicanthal fold or epicanthus, commonly referred to as the “Mongolian fold,” is a skin fold and distinct characteristic of the upper eyelid that stretches across the inner corner of the eye, partially covering the inner canthus (the area where the upper and lower eyelids meet). This fold is a standard anatomical feature unique among many people but is most popularly known as a distinct characteristic of individuals of Asian descent. The epicanthal fold can vary in size and prominence, often contributing to the characteristic eye appearance associated with these ethnicities. While it is a natural and common feature, the degree to which it affects the appearance of the eyes can differ significantly among individuals.

Why Alter The Epicanthal Fold?

What are some reasons someone would consider having cosmetic surgery on the epicanthal fold? Below, let’s explore some of the most common reasons individuals choose an epicanthoplasty.
  • Aesthetic concerns: A pronounced epicanthal fold can make the eyes appear smaller and more closed, often giving them a tired or less vibrant look. The fold can obscure the eyelid’s natural shape and reduce the eye’s visible surface area, impacting the face’s overall aesthetics. Some individuals find this problematic and seek to adjust the shape or size of their eyes through epicanthoplasty or other cosmetic eyelid procedures.
  • Visual field: In some cases, a significant epicanthal fold can slightly restrict the visual field by covering part of the eye. Although this is not typically a functional impairment, it can influence the perceived openness and brightness of the eyes, which can affect visual aesthetics.
  • Psychological impact: For many individuals, particularly those influenced by cultural beauty standards, the size and shape of their eyes play a significant role in their self-image and confidence. Modifying the epicanthal fold through epicanthoplasty can positively impact self-esteem and satisfaction with one’s appearance, helping individuals feel more confident and aligned with their desired overall look.
a close-up of a woman's eye

What Are The Goals of an Epicanthoplasty Surgery?

As mentioned, epicanthoplasty is a precise and meticulous cosmetic eyelid surgery designed to enhance the natural beauty of your eyes by addressing specific aesthetic concerns. The surgical approach varies based on individual needs and the type of epicanthoplasty being performed. Here are the primary goals and benefits of an epicanthoplasty:
  1. Increasing eye width: The surgery extends the horizontal dimension of the eye, making the eyes appear more expansive and open.
  2. Improving eye contour: The procedure refines the contour of the eye, creating a smoother and more defined transition from the inner to the outer corners.
  3. Enhancing symmetry: Achieving more significant symmetry between the eyes enhances facial harmony and balance.
  4. Reducing tired appearance: The surgery makes the eyes appear more awake, vibrant, and youthful.

Benefits of Eye Enlargement Surgery

What are the benefits of an epicanthoplasty? For those looking to change their eye shape or enlarge their eyes, among other things, here are some advantages of this upper eyelid cosmetic procedure.

1. Aesthetic Enhancements

  • It can create a more balanced facial appearance, reducing the distance between your inner canthal and making your eyes appear farther apart.
  • Reveals more of the eye’s surface area, making eyes appear brighter and more open.
  • Smoothes out creases to create a more refreshed, less tired look

2. Functional Improvements

  • Reduces eye slants by shifting the medial canthus medially and upwards, creating a more symmetrical facial appearance.
  • By rejuvenating the eyelid skin and making the eyes appear more vibrant and youthful, eye-widening surgery enhances the balance and proportion of facial features, contributing to a more attractive overall look.

Related: Eye Enlargement Surgery in Los Angeles

Who is a Good Candidate for Epicanthoplasty?

Epicanthoplasty can be a transformative procedure for those looking to improve the appearance of their eyes. If you want to change the appearance of your eyes in some way, there are various eye and eyelid surgeries to choose from.  Understanding the details about these procedures, including epicanthoplasty, is essential to determine which surgery can best help you achieve your desired goals.

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Let’s explore some detailed criteria to help you decide if you’re a good candidate for epicanthoplasty. In our experience at Wave Plastic Surgery, you’re likely a good candidate for epicanthoplasty surgery if…  

1. You want to improve your eye appearance.

If you wish to enhance the overall look of your eyes, making them appear larger, more open, and vibrant, epicanthoplasty could be the right choice. This surgery can specifically address issues such as eyes that look tired or less alert, helping to create a more youthful and awake appearance.

2. You want a natural look that preserves your natural features.

For individuals who seek larger eyes but wish to maintain their identity and natural look, epicanthoplasty offers a balanced solution. The procedure can enhance eye appearance without compromising ethnic characteristics, ensuring the results are natural and harmonious with your overall facial features.

3. You have pronounced epicanthal folds

Those with strong epicanthal folds that cover the inner corners of the eyes may find this surgery particularly beneficial. These folds can make the eyes look smaller and more closed. By reducing the folds, epicanthoplasty can uncover your eyes’ natural shape and beauty, making them appear more open and attractive.

4. You’re considering or have had complementary eyelid surgeries.

Epicanthoplasty surgery is often performed with other eye-enhancing surgeries, such as double eyelid surgery. If you have had or plan to have double eyelid surgery, epicanthoplasty can further enhance the results. This combination can create a more defined and aesthetically pleasing eye contour, achieving comprehensive eye enhancement.

5. You’re in overall good health.

Being in good overall health is essential for any surgical procedure. Potential candidates should be free from significant health issues that could impair healing or increase surgical risks. A thorough medical evaluation by your surgeon will help confirm you’re fit for the surgery. If you’re a smoker, you should be prepared to begin thinking about quitting if you plan to undergo a surgical procedure of any kind.

6. You have realistic expectations.

It’s essential to have realistic expectations about the results of epicanthoplasty. While the surgery can significantly enhance eye appearance, understanding the limitations and achievable outcomes is crucial. Discussing your goals and expectations with your surgeon during the consultation will help align your vision with the possible results.

7. You have fully developed facial structures.

Generally, candidates for epicanthoplasty should be adults with fully developed facial structures. This ensures that the surgical modifications will be stable and long-lasting. However, younger individuals with pronounced epicanthal folds and realistic expectations about the surgery may also be considered.

8. You are psychologically prepared.

Undergoing any surgical procedure requires psychological readiness. Candidates should have a positive outlook on the potential changes and be emotionally stable. A clear understanding of the surgical process, recovery, and possible outcomes is vital for a successful result.
a woman with pink eyeshadow

What Is The Epicanthoplasty Procedure Like?

Epicanthoplasty is a detailed and precise cosmetic surgical procedure that requires careful preparation, skilled execution, and diligent aftercare. At Wave Plastic Surgery & Aesthetic Laser Center, our highly skilled and experienced surgical team is dedicated to delivering exceptional results. Our board-certified plastic surgeons, led by Dr. Peter Lee, have extensive expertise in performing epicanthoplasty, ensuring that each patient receives personalized care and achieves natural-looking results.

Here’s an in-depth look at what to expect before, during, and after the surgery.

Pre-Surgery Preparations

Proper preparation is essential to ensure a successful surgery and smooth recovery. Here are the key steps to take before your epicanthoplasty:

1. Medical Consultation and Disclosure:

  • Inform your doctor about any medications you are currently taking, including over-the-counter drugs, supplements, and prescriptions. Some medications, especially blood thinners, can affect surgery and recovery.
  • Disclose any existing medical conditions, allergies, or previous surgeries. This information helps the surgeon tailor the procedure to your needs and minimize risks.
  • Discuss any previous procedures you might have had, such as blepharoplasty or canthoplasty, as this can influence your surgical plan.

2. Smoking and Medication Guidelines:

  • Avoid smoking for at least three weeks before the surgery. Smoking can impair blood flow and healing, increasing the risk of complications.
  • As your surgeon advises, discontinue blood-thinning medications, such as aspirin, ibuprofen, and certain supplements. These medications can increase bleeding during and after surgery.

3. Pre-Surgery Instructions:

  • Follow any additional pre-surgery instructions provided by your surgeon, such as fasting before the procedure or specific skincare routines to prepare the area.

Step-by-Step Procedure Overview

The epicanthoplasty procedure varies slightly depending on whether you are undergoing medial or lateral epicanthoplasty. Here’s a general overview of what to expect:


1. Anesthesia Administration:

  • Local anesthesia is commonly used for epicanthoplasty. It keeps you fully conscious while numbing the specific area around the eyes. This ensures that you remain comfortable without feeling any pain during the procedure.

2. Medial Epicanthoplasty (Inner Corner Eye Surgery):

  • The surgeon makes precise incisions at the inner corners of the eyes to access and remove excess skin and tissue. This process exposes more of the inner eye, creating a broader and more open appearance.

3. Lateral Epicanthoplasty (Outer Corner Eye Surgery):

  • Incisions are made at the outer corners of the eyes to lengthen the eye horizontally. The surgeon then reshapes the eye by removing or repositioning tissue, which reduces droopiness and enhances the eye’s overall contour.

4. Suturing and Final Adjustments:

  • After making the necessary adjustments, the surgeon carefully sutures the incisions to close the open skin folds. The suturing is done with precision to minimize visible scarring and ensure natural-looking results.

Anesthesia Options

Epicanthoplasty typically involves local anesthesia, which numbs the eye area while keeping you awake. This approach reduces risks associated with general anesthesia and allows for a quicker recovery. However, in some cases, mild sedation may be used in conjunction with local anesthesia to help you relax during the procedure.

Local anesthesia usually wears off after an hour, but you may experience some tingling and numbness for a few hours post-surgery. Generally speaking, you don’t need to do much to prepare for local anesthesia. During the consultation, you’ll need to inform your doctor if:

NOTE: If you feel pain during the procedure, you should tell your doctor right away, as this usually indicates that they need to give you a higher dose. Generally speaking, local anesthesia is very safe, but there are some side effects to be aware of. Side effects include:

Related Content: Does Eyelid Surgery Hurt?

Duration and Expected Sensations

How Long Is the Procedure?

  • The entire epicanthoplasty procedure typically lasts about 30 minutes. Combined with other surgeries, such as double eyelid surgery, the duration can extend to about an hour.

What Can I Expect To Feel During This Procedure?

  • Due to the anesthesia, you may feel slight pressure or movement during the procedure but no pain. Post-surgery, you might experience mild discomfort, swelling, and bruising, which are common and temporary.

Recovery and Aftercare

Generally speaking, the recovery process for eye enlargement surgery is pretty smooth. Most people experience some swelling and bruising around the eye, but this begins to subside after one week.

Any remaining swelling will gradually subside over the next eight to twelve weeks. Four to six days after surgery, you’ll need to return to the clinic or hospital to have your stitches removed.

Most patients return to work two weeks after surgery, but the recovery timeline is different for everyone. A few days after having your stitches removed, you’ll be able to wear makeup again.

Your surgeon will provide you with instructions on how to care for your stitches in the days following your surgery. Here are a few tips and things you may want to know:

Immediate Post-Surgery Care:

  • Cold Compress:
    • Use a cold compress on your eyes to reduce swelling and bruising. Apply it gently for short intervals during the first 48 hours.
  • Medications:
    • Take prescribed pain medication to manage discomfort and apply antibiotic cream as your surgeon directs to prevent infection.

Long-Term Recovery Tips:

  • Avoid Smoking:
    • Continue to avoid smoking for at least three weeks post-surgery to support healing.
  • Dietary Caution:
    • Avoid hot foods and drinks immediately after surgery, as they can increase swelling.
  • Makeup and Contact Lenses:
    • You should refrain from wearing makeup for a few days after the stitch removal and avoid contact lenses and fake lashes for at least two weeks.
  • Activity Restrictions:
    • Avoid saunas, swimming pools, and strenuous activities for two weeks to prevent complications and promote healing.

Managing Side Effects and Complications:

  • Swelling and Bruising:
    • Swelling and bruising are common and typically subside within a week. The remaining swelling will gradually reduce over the next eight to twelve weeks.
  • Stitch Removal:
    • Stitches are usually removed four to six days post-surgery during a follow-up appointment with your surgeon.

Please note: This is not a substitute for seeking medical advice. If you have questions about the recovery process, please contact your healthcare provider as soon as possible to ensure a successful path to healing.

Related Content: 5 Tips for A Fast Recovery

Recovery and Aftercare Recap

  • Avoid smoking for a few weeks
  • Avoid hot foods and drinks four hours following surgery
  • Place a cold compress on your eyes to reduce swelling and bruising
  • Take pain medication and applying an antibiotic cream as prescribed by your doctor
  • Apply a scar cream after the stitches are removed
  • Avoid contact lenses and fake lashes for two weeks following surgery
  • Avoid saunas and swimming pools for two weeks post-surgery

Epicanthoplasty at Wave Plastic Surgery in Los Angeles, California

At Wave Plastic Surgery & Aesthetic Laser Center, we specialize in performing epicanthoplasty and a wide range of other aesthetic and anti-aging procedures. As one of the largest and most advanced plastic surgery practices in the United States, we provide outstanding outpatient services in a luxurious environment across multiple California locations, including Los Angeles, San Francisco, Orange County, Arcadia, and Rowland Heights. Our team of board-certified plastic surgeons, led by Dr. Peter Lee, is dedicated to delivering natural-looking results using cutting-edge technology. Accredited by the American Accreditation Association for Ambulatory Health Care (AAAHC), we ensure the highest patient care and safety standards.

We are committed to educating our patients about the procedures we offer, ensuring they have all the information needed to make an informed decision. If you’re considering epicanthoplasty

Your surgeon will work to ensure that your eyes have minimal scarring by only making incisions where necessary. Scarring typically occurs, but these scars fade drastically in the six months following the procedure.
If you’re not satisfied with your results for any reason, you can restore the previous shape of your eyes. This is done by pulling the soft tissues on the scars to recreate the Mongolian fold.
As we mentioned earlier, most people who choose to undergo epicanthoplasty are of Asian descent. However, this type of surgery may still be possible and recommended if you have larger eyes. The best way to figure out if you’re a good candidate is to set up a consultation with a surgeon.
Epicanthic folds are the portion of the upper eyelid that covers the inner corner of the eye. Genetics, heritage, and age often cause these folds.

Ptosis is the weakening of the muscle that holds the upper eyelid open. This can result in the appearance of drooping eyelids, commonly known as droopy eyelids. There are a number of surgical methods used to correct ptosis. Epicanthoplasty and double eyelid surgery can correct ptosis by tightening and elevating this muscle. Contact our office today to schedule a consultation, and we can help you determine which eyelid procedure is best for you.

The price of epicanthoplasty surgery varies depending on the specific treatment plan. Epicanthoplasty is often paired with other procedures so the cost is frequently bundled together with double eyelid surgery or aging upper blepharoplasty. An individualized surgical plan will include a pricing breakdown. Learn more about financing with Wave Plastic Surgery.
Most swelling resolves in the first two weeks, but it can take several weeks to achieve the final results.
Using special techniques, some excess skin is removed from the medial epicanthal fold and the tissue is rearranged to make the eyes appear bigger and more inviting.
Medial epicanthal folds may be present in young children of any ethnicity and generally disappear once the nasal bridge fully develops at puberty. In those of Asian descent, a medial epicanthal fold is a common persistent feature that requires a medial epicanthoplasty to surgically remove the fold, which helps lengthen the inner corner of the eye.
Our Wave plastic surgeons perform a comprehensive evaluation to determine each patient’s needs and goals. Based on the surgical recommendations, a cost estimate can be provided during your consultation. Contact us today or visit our website to learn more about our financing options.

Related Content:

Schedule a Consultation With Wave Plastic Surgery

Ready for eye enlargement surgery? The first step when considering a cosmetic procedure like epicanthoplasty at Wave Plastic Surgery is always to schedule a consultation with a surgeon. During the consultation, your doctor will discuss your medical history and goals to determine if you’re a good candidate for the procedure. 

Contact us to schedule a consultation with one of our experts. Call 888-674-3001

  1. Park, D. H. (2012). Medial and lateral epicanthoplasty. In A. Erian & M. Shiffman (Eds.), Advanced surgical facial rejuvenation (pp. 577–585). Springer. https://doi.org/10.1007/978-3-642-17838-2_52
  2. Park, J. W., & Hwang, K. (2016). Anatomy and Histology of an Epicanthal Fold. The Journal of craniofacial surgery, 27(4), 1101–1103. https://doi.org/10.1097/SCS.0000000000002628
  3. National Health Service (NHS). (n.d.). Anaesthesia. NHS. Retrieved July 15, 2024, from https://www.nhs.uk/conditions/anaesthesia/
  4. Yanagisawa, K., Bartoshuk, L. M., Catalanotto, F. A., Karrer, T. A., & Kveton, J. F. (1998). Anesthesia of the chorda tympani nerve and taste phantoms. Physiology & Behavior, 63(3), 329–335. https://doi.org/10.1016/S0031-9384(97)00423-X

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Give us a call today to schedule a consultation with one of the plastic surgery experts at Wave Plastic Surgery to learn more about the procedure and the thread face lift cost.

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Our Epicanthoplasty Specialists

Plastic Surgeon Peter Lee

Peter Lee

M.D., F.A.C.S.

Dr. Peter is CEO and Chief Surgeon of WAVE Plastic Surgery Center with over 20 years of plastic surgery experience, overlooking 30K+ successful plastic surgery cases. He has mentored master surgeons around the world in state-of-the-art techniques, and has been inducted into the RealSelf 100 & 500 Hall of Fame.

His many accolades and shining results are evidence of Peter’s expertise.

Learn More About Peter
Plastic Surgeon Ben Lee

Ben Lee

M.D., F.A.C.S.

Throughout 20+ years in aesthetic plastic surgery, Dr. Ben Lee has always been passionate about using his skills to impart a lasting, positive impact on the lives of his patients.

“Time and time again, I have witnessed dramatic improvements in a patient’s confidence and well-being after a relatively minor cosmetic or reconstructive procedure. As a surgeon, that brings me great joy.” — Dr. Ben Lee

Learn More About Ben
Plastic Surgeon Denise -Wong

Denise Wong

M.D., F.A.C.S.

With a focus on Upper Eyelid Surgery, Dr. Wong has a deep understanding of the unique anatomy of the eyelid which is critical in performing this highly technical and intricate surgery. She is experienced in approaching various specific eyelid characteristics for different ethnicities, especially Asian cultures.

She uses precise microplastic surgical techniques to enhance the natural shape and inherent beauty of your eyes, making them appear bigger and brighter.

Learn More About Denise

Medcially Reviewed By Dr. Ben Lee

M.D., F.A.C.S.

Proudly using his creativity to help patients regain a sense of wholeness and confidence, Dr. Ben Lee takes a very patient-centered approach to care.

Learn More About Dr. Ben Lee

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