Exposure of the pupil that creates beautiful looking eyes  
 
 
Eyes are considered to look admirable and natural if the lower part of the pupil is slightly covered by the skin under the pupil by about 1-2mm. Also, the pupil should be situated right in the middle of the left and right white parts of the eye (called a sclera.)
 
Coverage of the white part of the inner corner of the eyes ( pseudostrabismus)  
 




 
 
 
 
 
When the inner corner of the eyes (epicanthal region) is covered with Mongolian folds, they look like a squint or crossed-eyed because they make both pupils look as if they are situated toward the inner corners. By undergoing Magic epicanthoplasty, these problems can be corrected by exposing the corner of the eyes that were hidden by Mongolian folds.
 
Exposure of the upper white parts of the eyes  
 
Types like this such as a protruded eyeball may give a strong and scary appearance
 
 
Exaggerated coverage of the upper part of the pupil (peseudoptosis)  
 
These are cases where the upper pupils are covered by the eyelid skin drooping. It should be separated from true ptosis by accurate evaluation.
 
 
 
 
True covering of the upper partof the pupil (ptosis)  
 
Eyelids should be covered over the pupillary parts of the eyes by 1-2mm, but in case of a ptosis, the eyelid droops down and covers the pupil with a significant amount. It makes a distinct sleepy appearance
 





 
Examples) Cases of ptosis correction.
 
Exposure of the lower white part of the eye (Sclera show)  
 
 


 
When the lower sclera of the eye is exposed, it is thought to give a gloomy-looking impression. In this case, it can worsen if a lateral canthoplasty is undertaken so it must be avoided. Sometimes, it appears when one has ptosis.
 
Excessive coverage of the lower part of pupil  
 


 
Example) Magic epicanthoplasty and lateral canthoplasty
 
 
Example) Magic epicanthoplasty and ptosis correction, lateral canthoplasty
 
Diagonal coverage of the pupil.  
 




 
 
 
If the Mongolian fold pulls down the upper eyelid skin to the lower eyelid, it shows a diagonal pattern of the upper eyelid from the epicanthal region, covering the pupil at the same time. Magic epicanthoplasty can correct this unfavorable diagonal line by releasing tension of Mogolian folds.
 
The shape and size of eyes  
 
  It is generally known that the distance between two eyes should be the same as the horizontal distance of one eye, i.e. the distance between the medial to the lateral canthus. However, majority of Korean women have a wider interepicanthal distance because of the Mongolian folds. The ideal shapes of oriental eyes in numerical values are 1.2cm in height , 3.5cm from inside(medial canthus) to outside(lateral canthus), and 3.5cm between the two eyes(intercanthal distance). The angle of the medial to lateral canthus should be 10 degrees in upward inclination to be considered an ideal eye.
 
Upward rising of the Mongolian inclination, extending to the tail of the eyes.  
 

 
Compared with Caucasians, Asians have a laterally slant shape of the eyes, which is called "Mongolian inclination". This is made by the structures called medial and lateral canthal tendons. An angle made by this line to a horizontal line of face is called an inclination angle. This angle is about 5-8 degrees in Caucasians, while Asians’ form an angle of approximately 10 degrees. The eyes will not look as good if the exceeds 15 degrees. In cases of severe Mongolian inclination, it makes a sharp impression and it can cause negative effects.

 

 

 
 

Example) Revisional double eyelid surgery combined with Magic epicanthoplasty and lateral canthoplasty

 
 
Example) Magic epicanthoplasty with lateral canthoplasty
 
 
 
 
Example) Double eyelid surgery by buried suture method combined with the Magic epicanthoplasty and lateral canthoplasty
 
 
Example) Magic epicanthoplasty with double eyelid surgery( without lateral canthoplasty)
 
Eyes that point downwards and hang down laterally  
 
 

Asians usually have scary looking eyes compared to Caucasians partly because of the tail of the eyes’ inclination degree and Mongolian folds. As you get older, your eyes can change into a softer and more comfortable appearance because aging causes the upper eyelid to hang down.

 
 
 


 
Example)Double eyelid surgery combined with Magic epicanthoplasty in the eyes that hang down laterally.
 
Fat tissue in the eyes  
 
For Asians, orbicularis oculi muscle is relatively thicker and orbital fat is more abundant, and the fatty tissue usually comes down to the lower part near the tarsal plate. Because of these factors, eyelids look thick and swollen. Therefore, the position and quantity of orbital fat should be adjusted to create a natural double eyelid.
 
 
Example) The shape of eyelid that contains large amount of orbital fat
 
 
 
Example) A case showing an improvement in puffiness by removal of the excess skin and the orbital fat

 
 
Example) A case showing an improvement in puffiness by removal of the orbital fat
 
The fat tissue on the upper part of your eyes may sink in due to aging and can portray an older and tired appearance. To obtain a younger looking image, surgery using fat in the orbital area or transplantation of fat may be needed.

 







 
 
Example) Fat injection over the sunken eyelids
 
Thickness of eyelid skin  
 
Different images of eyes are created depending on the type of skin you have. This is an important key to consider when performing the double eyelid surgery.
 
 
 
Example) Thin eyelid skin
 
 
 
Example) Thick eyelid skin
 
Direction of eyelashes and epiblepharon of the eyelid  
 
 
Example) A case showing an improvement of epiblpharon by an incisional double eyelid surgery
 

In a single eyelid, the eyelashes tend to point downward to the eyeball by being pressed down by the eyelid. As the forehead is raised for helping the eyes to open wider, the eyelashes will be inclined more to the eyeball side.

In severe cases, it can damage the cornea sometimes. And also the older you are, the more severe the eyelash inclination is. When a double eyelid is made, this problem of prickling lashes into your eyes disappears because the lashes point upward.

 
Depression or protrusion of eyeballl  
 
Depressed or protruded eyeballs can make a unique image of the eye, and it is an important factor to be considered in double eyelid surgery.
 
 
Example) Protrusion of the eyes
 


 
Example)Magic epicanthoplasty combined with non-incisional double eyelid surgery and autologous fat injection in the protruding type of eyeballs.
 
 
Example) Fat injection over the sunken eyelids in a patient having depressed eyeballs
 

Example) autologous fat injection in the depressed type of eyeballs.
 
Distance between the eyebrow and the eye?  
 
 
 

Example) When the distance between the eyebrow and the eye is short, it may give a puffy look.

 
 
 

Example) When the distance between the eyebrow and the eye is far enough, the eyes give a brighter image.

 

 
The distance between the two eyes  
 
Hypertelorism

When the distance between the orbital skeletal structure is far, then the pupillary distance also widens. In this case, it is impossible to make orbital skeletal structure narrower, but augmentation rhinoplasty can sometimes be helpful for changing the image of the face. The epicanthoplasty would be helpful according to the degree of epicanthus.




 
Telecanthus
This is a case where the distance between the inner parts of the eyes looks farther than the actual distance because of Mongolian folds. Magic epicanthoplasty can correct this specific condition.


 
 
 
 
Hypertelorism + Telecanthus
With the combination of the two above factors, the interepicanthal distance looks far from each other. Both augmentation rhinoplasty and Magic epicanthoplasty can help this condition.
 
 
 

Example) Magic epicanthoplasty combined with double eyelid surgery (female patient)

 
 

Example) Magic epicanthoplasty combined with a non-incisional double eyelid surgery and an augmentation rhinoplasty (male patient)

 
 
Eyes that are in closer distance with each other
In cases where the interepicanthal distance is narrow, epicanthoplasty could have caused worse effects. Only the double eyelid surgery must be performed.