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Canthoplasty
It is about far more than simply making the eyes larger. Medial epicanthoplasty uses a skin-redraping technique to minimise scarring, while lateral and inferior canthoplasty employs CPF fixation to deliver a natural result with no pinched sensation.
Quick Facts
| Procedure | Canthoplasty · Canthoplasty |
|---|---|
| Surgeon | Dr. Kim Seungsoo (Board-certified Plastic Surgeon, 10+ yrs) |
| Time | 30 minutes |
| Anesthesia | Local / IV Sedation |
| Hospitalization | Not required |
| Stitch Removal | 7 days post-op |
| Follow-up Visits | 2 visits |
| Recovery | From 1 week post-op |
| Best For | Eyes that appear wide-set due to prominent epicanthal folds (medial epicanthoplasty) · Upward-slanting outer corners giving a harsh or severe expression (lateral/inferior canthoplasty) · Eyes that feel narrow or restricted due to short horizontal width · Insufficient enlargement effect from double eyelid surgery alone |
Ideal Eye Proportions (Golden Ratio)
The most balanced and aesthetically pleasing eye contour is achieved when the inter-eye distance and the width of each eye maintain a 1:1:1 ratio. At AVA, each patient's unique proportions are carefully analysed to determine the precise extent of correction — never too much, always just right.
Check Point Highly Recommended For
Canthoplasty Procedure
1:1 Proportion Assessment
The epicanthal fold, inter-canthal distance, and outer canthal angle are analysed to design the correction that is precisely right for the individual.
Medial Epicanthoplasty (Skin Redraping)
Rather than simply excising skin, the tissue is redistributed along its natural grain — resulting in virtually no scarring and an immediately natural appearance.
Lateral / Inferior Canthoplasty (CPF Fixation)
CPF (fascia) fixation — an improvement over traditional periosteal fixation that can cause a pinched feeling — delivers a completely natural outer corner within 2–3 weeks, with no discomfort.
Fine Closure
Meticulous suturing tailored to the eye's contour completes a refreshed, open eye shape with minimal scarring.
Medial vs Lateral/Inferior Canthoplasty — Which Do You Need?
Canthoplasty is not simply about making the eyes larger — it is about aligning the eye proportions to the 1:1:1 golden ratio. Indications and effects differ depending on which area is treated.
| Criteria | 앞트임 | 뒤·밑트임 |
|---|---|---|
| Primary Indications | • A strong epicanthal fold whose crease line extends visibly below the eye • A blocked, narrow feeling at the inner corner • Less visible inner sclera (white of the eye) relative to the outer sclera, creating imbalance • Epicanthal fold pulling the crease downward, limiting the style to In-Line only • Wanting to prevent a double or overlapping crease line caused by the epicanthal fold | • Less visible outer sclera relative to the inner, making the eyes appear small • Noticeably upward-slanting outer corners creating an intense or angry expression • Wanting to precisely reshape the lower eyelid contour |
| Effect | Reduced inter-canthal distance + open, approachable look More natural and unobstructed crease line | Increased horizontal eye width Softer expression + refined lower lid contour |
| Technique | Skin Redraping (tissue redistributed along the natural grain) | CPF Fixation (fascial fixation to prevent pinching) |
| Scarring | Redraping along natural grain → minimal (natural-looking as soon as swelling subsides) | Natural result with CPF fixation (fully settled within 2–3 weeks) |
| Recovery Period | 1 week | 1 week (any pinched sensation resolves within 2–3 weeks) |
Eye Surgery Procedures — At a Glance
The right method depends on lid thickness, sagging, eye proportion, and revision needs.
| Procedure | Area | Time | Anesthesia | Recovery | Key Technique |
|---|---|---|---|---|---|
| Natural Adhesion Double Eyelid Natural Adhesion | Upper eyelid (double-fold line) | 30 minutes | IV Sedation / Local | From day 3–4 | Micro-tunnel + natural adhesion |
| Incision Double Eyelid Incision Method | Upper eyelid (skin/muscle/fat) | 1 hour | IV Sedation / Local | From 1 week post-op | Incision + tissue trim + line fixation |
| Canthoplasty Canthoplasty | Medial / lateral / lower canthus | 30 minutes | Local / IV Sedation | From 1 week post-op | CPF anchoring + skin redraping |
| Ptosis Correction Ptosis Correction | Upper eyelid (levator muscle) | 1 hour | IV Sedation | From 1 week post-op | Levator strengthening |
| Under-Eye Fat Repositioning Under Eye Fat Repositioning | Lower eyelid (conjunctiva/fat) | 30 minutes – 1 hour | IV Sedation | From 1 week post-op | Conjunctival fat repositioning |
| Revision Eye Surgery Revision Eye Surgery | Eye revision | 1–2 hours | IV Sedation | 2 weeks or more | Adhesion release + redesign |
Click a row to open that procedure.
The AVA Difference
Natural Adhesion Technique
Tissue is repositioned along natural planes and secured at multiple points.
Designed to reduce loosening and align with the patient's intrinsic contour.
Levator Aponeurosis Ptosis Correction
Ptosis is addressed by shortening and refixing the levator aponeurosis,
restoring natural eyelid flow.
Patient Satisfaction Defines Completion
Surgery is complete not when sutures are removed,
but when the patient smiles in front of the mirror.
Q&A
Post-op Instructions
- Do not rub the surgical area strongly for about a week.
- Avoid alcohol and smoking for at least 2 weeks as they delay recovery.
- Swelling and bruising vary individually but will gradually improve.
- Light walking or stretching helps reduce swelling.
Curious About This Procedure?
Our head surgeon provides a one-on-one assessment and a tailored treatment plan just for you. Results and recovery may vary by individual.