When a canthoplasty intended to create larger, beautiful eyes unexpectedly leaves severe side effects on both ends of the eyes, the sense of loss and stress patients endure is immense. Especially if there is a deep depressive scar resembling a fingernail mark at the inner corner, and the outer corner is bluntly spread into a 'U-shape' exposing the red mucosa, even the simple daily act of making eye contact with others can become intimidating.
If both the inner and outer structures of the eyes are damaged, it is only natural to want to correct both areas in a single surgery. However, in many cases, patients are advised to separate the surgeries due to concerns about tissue tension and recovery burden. Today, She One Plastic Surgery will deeply explore a clinical case where we safely performed a 'Simultaneous Canthoplasty Revision' based on a profound understanding of anatomical structures to restore the lost balance of the eyes.
1. Simultaneous Revision: Overcoming Skin Tension is Key
In the field of plastic surgery, a revision procedure involves delicately dissecting scar tissue, gathering scattered ligaments, and suturing them back together. Inevitably, this generates a significant amount of 'Tension' where the skin is pulled tightly. If the inner and outer corners are closed at the same time, this tension can become excessively concentrated, creating a risk of the wounds reopening or the eyes appearing unnaturally small.
However, She One Plastic Surgery thoroughly calculates the patient's remaining skin capacity and tissue elasticity through advanced clinical precision. We strictly avoid the method of forcibly pulling and suturing only the outer skin. Instead, we firmly reposition the internal ligaments and muscles—the very framework of the eyes—step by step from the deep layers. By effectively distributing the tension applied to the skin surface, we can smoothly achieve a simultaneous revision without overburdening the tissues.
2. Depressive Scars: Reconstructing the Adhered Internal Structure
A deeply depressed scar at the inner corner is not just a surface scratch. It is the result of 'adhesion,' where the skin severely caves inward and tangles together as it heals, following the excessive excision of skin and micro-muscles during the initial surgery.
Therefore, simply applying laser treatments or scar ointments from the outside cannot fill this depressed space. A 'double flap technique' and internal structure reconstruction—which carefully release the tightly adhered scar bands and seamlessly reconnect the severed micro-muscle layers—must be performed together to restore the depressive scar to a flat and smooth state.
3. Webbed Outer Corners: The Importance of Re-anchoring the Lateral Canthal Tendon
If the outer corner spreads bluntly into a U-shape and exposes the red conjunctiva after lateral canthoplasty, it is a clear anatomical signal that the 'lateral canthal tendon,' which maintains the taut shape of the eyelid, has detached from the bone and lost its supportive strength.
In this state, simply tying the spread outer skin with threads as a temporary fix will eventually cause the scar to reopen, as it cannot withstand the physical force of blinking. For a fundamental restoration of the shape, it is essential to locate the dysfunctional lateral canthal tendon and firmly re-anchor it to its original position inside the orbital bone, while meticulously realigning and suturing the damaged gray line (the border of the upper and lower eyelids) like fitting puzzle pieces together.
4. Checking the Progress of Stabilized Simultaneous Revision
This is the progress at a point where the scar tissue has softened and the tissues have gradually entered a stabilization phase after completing the complex simultaneous revision surgeries.
Looking at the results, you can see that the depressive scar, which cast a shadow like a deep fingernail mark at the inner corner, has been smoothly refined through internal structure reconstruction. At the same time, the outer corner that was excessively spread and unpleasantly exposing the red mucosa has been softly closed into its natural, sharp V-shape through lateral canthal tendon fixation, fully restoring the overall harmony of the eyes.
5. She One Plastic Surgery's Promise: Recovery to a Comfortable Daily Life
She One Plastic Surgery deeply sympathizes with the heavy hearts of patients whose daily lives of facing others have shrunken due to failed surgical outcomes and distinct scars left on their faces (Patient Empathy).
Our clinic rejects uniform, cookie-cutter surgeries. We precisely analyze the patient's skin thickness and scar depth on a 1:1 basis to propose only the safest and most suitable surgical plan that the tissues can handle. For patients exhausted from multiple failures and revision surgeries, we will help you return to a comfortable daily life by correcting the collapsed structure of your eyes. We will dedicate our utmost care to every consultation as your reliable companion on your long journey of recovery.
* Before and after photos of this patient are available on the She One Plastic Surgery official blog. *
Before & After Photos on official Blog (Click)
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시원성형외과
시원성형외과 | 압구정역 4번 출구, 앞트임복원, 뒤트임복원, 앞트임, 윗트임, 뒤트임, 밑트임, 눈재수술, 자연유착 쌍꺼풀, 눈매교정, 상안검, 눈밑지방재배치, 하안검, 남성눈성형
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The before and after photos featured in this post are shared with the patient's explicit consent, strictly complying with Article 23 of the Medical Service Act. Please note that individual recovery times and surgical results may vary, and potential side effects can occur. We strongly advise a comprehensive consultation with our medical team before making any surgical decisions.
