Plastic surgery

Canthoplasty (eye-corner surgery)

Epicanthoplasty (inner corner) · Lateral canthoplasty (outer corner)

At a glance

Recovery
7–14days
Pain
Moderate
Time
30–180 min
Sessions
1 session
Type
Surgery

What it is

Surgery on the corners of the eye. Epicanthoplasty releases the fold at the inner corner (the epicanthal fold, common in East Asian eyelids). Cosmetic lateral canthoplasty extends the outer corner to lengthen the eye opening and reduce upward slant. Surgeons often discuss it together with double eyelid surgery.

Who it’s for

Adults with a prominent inner fold, or who want a longer eye opening, and who have realistic expectations.

How it’s done

Under local or general anesthesia, a small incision or skin flap is made at the eye corner. Tissue is released or repositioned and closed with fine stitches.

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What to get in writing

Recovery

Expect discomfort, swelling and bruising for the first couple of weeks. Many people rest about a week before returning to work or school, and full recovery takes 2–4 weeks. Incision lines stay visible for 2–3 months before fading.

Risks and side effects

  • Visible scarring at the eye corner (a known drawback of older inner-corner techniques)
  • Under-correction, recurrence, or the corner reattaching
  • Dry eyes or difficulty closing the eyes
  • Bleeding, infection or pain
  • Unfavorable outer-corner shape: a 2016 review notes complications after cosmetic lateral canthoplasty are not uncommon

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Aftercare

  • Do not rub your eyes
  • Keep water, soap and skincare products off the incisions until healed
  • Avoid pools and saunas for three weeks
  • Sleep with your head raised, and use ice in 15-minute intervals for swelling
  • Avoid strenuous exercise for a few weeks

Questions people ask

What is the difference between epicanthoplasty and lateral canthoplasty?

Epicanthoplasty works on the inner corner near the nose. Lateral canthoplasty works on the outer corner near the ear.

Will there be a scar?

Yes. Incision lines are visible for two to three months and then fade. Newer inner-corner techniques use shorter incisions to reduce visible scarring.

How long is recovery?

Cleveland Clinic says two to four weeks for complete recovery, with about a week of rest before returning to work or school.

Sources

Facts on this page come from medical societies, public agencies and medical journals.

  1. my.clevelandclinic.org/health/treatments/24828-canthoplasty(opens in a new tab)
  2. pubmed.ncbi.nlm.nih.gov/27096377(opens in a new tab)
  3. pubmed.ncbi.nlm.nih.gov/27462563(opens in a new tab)

This is general information, not medical advice, and we don’t refer you to any clinic. We don’t list clinic names, reviews or rankings. Unnie Note is an independent publication with no ties to any clinic or booking service.

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