Korean Epicanthoplasty (Inner Corner): What Foreign Patients Should Know Before Adding It

Before-and-after editorial portrait diptych for Korean epicanthoplasty showing Patient A Korean-Chinese woman mid-30s with prominent Mongolian epicanthal fold covering the lacrimal caruncle in BEFORE panel and at 12 weeks post-op with the fold released, caruncle exposed, wider inner intercanthal distance, and the double eyelid line flowing naturally into the inner corner

Foreign patients arriving in Seoul for double eyelid surgery often discover the surgeon is recommending epicanthoplasty, the structural release of the Mongolian epicanthal fold that covers the inner corner of the eye. In approximately 60 to 75 percent of Korean double eyelid consultations the surgeon assesses whether the fold will compete with the new crease, and the recommendation is anatomical rather than commercial. The four standard techniques (Park Z-plasty, root Z-plasty, V-W plasty, and modified skin redraping) are selected by reading the patient’s specific fold anatomy, and the scar matters more than the release itself because the procedure is judged on the 12-week matured appearance.