An incision in the inner corner of the eye is an operation that widens the width of the eye and makes it look larger by removing or removing the tension of the Mongolian folds that cover the inner corner of the eye . By exposing the white eyes hidden by the Mongolian folds, it is possible to improve problems such as the distance between the left and right eyes .
There are various surgical methods for incision of the inner corner of the eye, depending on the shape and procedure of making the skin incision, the method of suturing, etc., and the characteristics of the finish differ for each surgical method. In addition, depending on the original shape of the eye and the ideal finish, the inner canthus may not be suitable or a combination of other surgeries such as double incision or outer corner of the eye may be required .
Therefore, when considering surgery for incision of the inner corner of the eye, the characteristics of each surgical procedure, what kind of surgery is suitable for the surgery, downtime and risk, and differences from other eye surgery should be used together. Knowing the benefits of doing this will help you choose a more personal eye surgery.
The thin skin that covers the white of the inner corner of the eye is called the Mongolian fold, and the operation to expose the mucous membrane called the pink caruncle in the inner corner of the eye by incising or removing the Mongolian fold is the inner canthus incision . .. The presence or absence of Mongolian folds is said to be determined by heredity, and it is said that about 80% of Japanese people have Mongolian folds, which tends to be common in the eyes of Asians.
There are no health effects such as poor eyesight or poor visibility due to the Mongolian folds, but if the white eyes are covered with Mongolian folds, the eyes may look smaller or the eyes may appear apart. It will cause the problem. It is said that by making an incision in the inner corner of the eye, the width of the eye can be widened and it can be seen, leading to an impressively patchy and large eye area.
If you have a Mongolian fold, you can have surgery on the inner corner of the eye with a single eyelid. Also, once the Mongolian folds are removed, the finish is said to last semi-permanently . However, the incision in the inner corner of the eye is a "surgery that widens the width of the eye to make it look larger" by improving the tension of the Mongolian folds, and the effect of increasing the length of the eye cannot be expected.
The benefits of making an incision in the inner corner of the eye are as follows.
It is said that it is difficult to feel the change in the area around the eyes where the Mongolian folds are not tight, because the width of the eyes is limited even if the inner corner of the eye is incised . In addition, for facial features called centripetal faces, where the facial parts are originally closer to the center, the width of the eyes should be widened because the eyes will be closer to the center by performing an incision in the inner corner of the eye. It is an operation that tends to be unsuitable in cases where it is not available.
Since the incision in the inner corner of the eye is an incision or excision of the Mongolian fold, it cannot be corrected to return to the original eye immediately after surgery . It is important to calmly consider the surgery based on the objective advice from the doctor, such as whether the incision is applied to the ideal facial features and the finish of the eyes.
There are various surgical methods for incision of the inner corner of the eye, depending on the clinic, such as the shape and procedure of the incision and the procedure of suturing. Here, we will explain the characteristics of each of the "crescent method," "Z method," "W method," and "redrape method," which are common techniques. Since the original shape of the eyes and the design of the ideal finish are different for each person, the appropriate surgical procedure is selected based on the diagnosis by the doctor in the actual surgery .
It is the simplest procedure to make a crescent-shaped incision in the Mongolian folds, remove excess skin, and suture the incision site . While it has the advantages of being able to easily adjust the amount of skin to be excised and predicting the finish, it is also said to be a surgical procedure that makes it easy to go back due to its natural healing power because it only involves excising and sewing the skin.
The crescent method has a risk of causing twitching after surgery due to the force of relapse, and the following Z method and W method have been developed to compensate for these shortcomings.
By making a Z-shaped incision in the Mongolian folds, two triangular skin valves are made as A and B, and A → B is sutured in the order of B → A to widen the width of the inner corner of the eye. is. Since the incision line is short and the skin is not excised, the risk of twitching and relapse is low. In addition, since the skin is not incised, it is a surgical procedure that can be corrected by returning the replaced Mongolian folds .
The Z method can adjust the exposure of the caruncle depending on the shape of the eye and the angle of the design, but it is generally suitable for those who want a natural finish with less exposure of the caruncle. It is said to be a technique that has fewer scars than other techniques and can naturally form parallel doubles that are separated from the inner corner of the eye.
The W method is also called the "Uchida method" after the name of the inventor. After making a horizontal W-shaped incision in the Mongolian folds to remove excess skin, the width of the inner corner of the eye is widened by inserting the triangular skin valve in the center of the W shape into the inner corner of the eye and shrinking it . Since the range of skin excision can be adjusted, the design is highly reproducible .
It is said that the doctor's technique affects the finish because of the delicate work of excising the skin, and compared to the incision of the inner corner of the eye by the Z method, the surgical wound tends to be larger and requires longer downtime.
The redorape method makes an incision in the skin from the inner corner of the eye to the edge of the eyelid. An incision is made in the orbicularis oculi muscle near the inner corner of the eye that forms the Mongolian fold to reduce volume, and after removing excess skin to a minimum, it is trimmed to fit and sutured along the incision line under the eye. By doing so, you can widen your eyes .
The natural healing power disperses the force to go back, and scars are created along the line of the eyelid edge, making it less noticeable . However, because the incision is made under the eyes, the tear pouch may become temporarily stiff after surgery, or a symptom called "dog ear" may appear in which the sutured end rises.
Since the redorape method has little effect on improving the overhanging skin on the upper part of the Mongolian folds, it is more compatible with the suehiro type double, which starts as if the double lines are connected from the inner corner of the eye, rather than the parallel type double. It is an expression.
There is a golden ratio around the eyes that is generally considered to look beautiful, and the ratio is "width of the left eye: width between the inner corners of the eyes: width of the right eye = 1: 1: 1". By deciding the design based on this ratio, you can aim for a natural finish, and in the incision of the inner corner of the eye, you can adjust the balance by centering the position of the eye by widening the width of the inner corner of the eye .
The inner canthus incision is an operation aimed at widening the inner canthus side, and in order to aim for the ideal double design and eye size, it may be necessary to use other eye orthopedic surgery together. There is.
The following describes the tissues and roles around the eyelids that are related to the surgery performed in combination with the incision in the inner canthus, and the changes that can be obtained by using each surgery together.
・ Frontalis muscle
Muscles located on the forehead from above the eyebrows that have the role of raising the eyebrows
・ Orbital fat (Cancer)
The fat that covers the circumference of the eyeball, and when it hangs down due to aging, dents and sagging of the eyes occur.
・ Orbicularis oculi muscle
It is a facial muscle that is mainly used when closing the eyelids and covers the area around the eyes.
・ Levator palpebra (Gankenkyokin)
A muscle that exists from the back to the top of the eyeball and has the role of opening the eyelids by contracting.
・ Levator aponeurosis
A thin membranous tissue that connects the levator palpebra muscle and the tarsal plate, which protects the eyeball, and the levator tendon membrane pulls the tarsal plate in conjunction with the contraction of the levator palpebra muscle to open the eyelids.
・ Muller muscle A muscle that exists behind the levator aponeurosis, which connects the levator palpebra muscle and the tarsal plate in the same way as the levator aponeurosis, and assists the levator aponeurosis in lifting the tarsal plate by contracting. Have a role
・ Tarsus (Kenban)
A plate-like tissue with dense collagen fibers on the edges of the upper and lower eyelids that protects the eyeball and is pulled up by the contraction of the levator palpebra and Muller muscles.
Double surgery by the incision method is a surgery to make a double line by making an incision in the upper eyelid with a scalpel and sewing the skin and the levator aponeurosis together . If there is excess fat or sagging skin on the eyelids, remove it and lead to a refreshing eye area.
Since the skin is incised directly, various designs such as "Suehiro Double" where double lines gradually spread toward the outer corners of the eyes and "Parallel Doubles" where double lines extend from the inner corners of the eyes to the outer corners of the eyes with almost the same width. Is said to be possible.
Especially in the case of eyes with developed Mongolian folds, it can be expected to have the effect of making it easier to finish in parallel doubles or wider doubles by combining with an incision in the inner corner of the eye.
Outer corner incision is an operation to open the outer corner of the eye by making an incision of about 2 mm to 4 mm in the skin and mucous membrane of the outer canthus, which means the outer corner of the eye, and suturing the incision . You can expect improvement of the slanted eyes by cutting small eyes into long eyes or making a gentle curve at the outer corner of the eyes, leading to a gentle impression on the eyes. In addition, by expanding the area on the outer corner of the eye, you can expect the effect of making it look like a small face, and by receiving it in combination with an incision in the inner corner of the eye, you can aim for a larger impression of the eye .
The symptom that the eyelids are lowered due to the weak ability to open the eyes is called ptosis. Ptosis surgery is an operation in which the skin surface of the upper eyelid is incised and the levator palpebra muscle (or levator aponeurosis), which is the muscle that opens the eyelid, is sewn to the tarsal plate using a suture .
By fixing the levator palpebra (or levator palpebra) and the tarsal plate, the tarsal plate is pulled up firmly when the levator palpebra muscle contracts, and the eyelids can be sufficiently lifted to open the eyes wide. It is said that when combined with an incision in the inner corner of the eye, it leads to a larger impression of the eye .
Since it involves an incision in the skin, it generally takes about 6 months for the swelling and redness of the surgical site to subside and be completed . It is said that following the doctor's instructions, such as going to the hospital and precautions in daily life, affects the beautiful finish.
| [Days 4-7]|
|Usually, the thread is removed in the 4th to 7th days. You cannot wear contact lenses or make eye makeup until the thread is removed.|
| [1 to 2 months]|
Swelling and internal bleeding subside
|Although it depends on the surgical procedure and individual constitution, it is generally said that swelling subsides in about 3 to 5 days, internal bleeding in about 1 to 2 weeks, and redness in about 1 to 2 months.|
| [6 months]|
|It is said that it takes about half a year for the incised part to settle down by the incision in the inner corner of the eye and to have a natural appearance.|
Regarding downtime, redness and swelling peak about one week after surgery, and then gradually begin to subside . Please refrain from reading books or watching TV for a long time, and avoid touching the surgical site as much as possible.
In addition, you cannot take a bath on the day. From the next day onwards, you will be able to take a shower below your neck, and you can wash your hair and face as long as you do not get the area around your eyes wet. However, if you warm your body, blood circulation may improve and internal bleeding and swelling may worsen or prolong, so take a shower for about 3 days after surgery, and use a towel wrapped with an ice pack to suppress inflammation in the affected area. It is recommended to cool with.
In addition, please refrain from wearing contact lenses, strenuous exercise, and drinking alcohol until you remove the thread. Eye makeup is possible after thread removal. In addition, after removing the thread, paying attention to moisturizing the affected area and UV care will make the scars less noticeable and prevent pigmentation.
The risks of having surgery for an incision in the inner canthus include:
|risk||Symptoms / causes|
|Internal bleeding / swelling / redness||Internal bleeding, swelling, and redness are common symptoms, although they vary from person to person. Internal bleeding may occur if a small blood vessel under the skin is damaged by an injection needle during anesthesia. These symptoms peak in the first week after surgery, but are said to gradually subside after that. In addition, there are many cases where the suture marks become keloid-like and the skin rises.|
|Infectious diseases and suppuration||If the resistance to bacteria is weakened due to chronic illness, it is a symptom that can occur due to hematoma after surgery.|
|Hematoma||It is caused by bleeding caused by surgery and the accumulation of blood under the skin.|
|Left-right difference / unnaturalness||Insufficient counseling or poor doctor skills can cause problems such as laterality and an unnatural finish due to excessive incision.|
Examples of failed cases of incision in the inner canthus include the following. Some medical institutions have a guarantee system that can be corrected free of charge when it is judged that it is better to perform re-operation, such as when the doctor objectively examines and the difference between the left and right is clear. Since the warranty period and the cost of re-examination vary depending on the medical institution, please check the homepage of each medical institution in advance.
Depending on the lack of matching of the design with the doctor, the lack of skill of the doctor, the original shape of the inner corner of the eye, etc., the finish may not be what you imagined. Here are some things to keep in mind to prevent such failures:
Eyes with well-developed Mongolian folds are said to have a particularly high risk of backtracking . Please consult with your doctor to determine the appropriate surgical procedure according to the condition of your eyes. In addition, if it is difficult to form the ideal eye area by incision of the inner corner of the eye, it is an option to have surgery in combination with other eye surgery.
If the white of the inner corner of the eye is exposed too much by surgery for the inner corner of the eye, it may give an unnatural and unnatural impression to the eyes . Regarding the range of exposing the white of the eyes, it is important to consult with the doctor and receive objective advice, and to propose the optimal design and technique according to the ideal finish of the eyes.
If surgery is performed under a doctor who has a small number of cases of incision in the inner corner of the eye and has a poor track record , there is a possibility that an unnatural dent in the inner corner of the eye or a scar with a keloid-like raised skin may be left on the inner corner of the eye .
In order to prevent the risk of unnatural dents and scar failure, there are many cases of incision of the inner corner of the eye, and what kind of surgical method is most suitable according to the development of Mongolian folds and the shape of the eyes, which are different for each person. It is important to have surgery under the guidance of a doctor who gives a thorough explanation or a doctor who has a background in plastic surgery.
Failure to finish due to excessive skin incisions may be corrected by surgery to form Mongolian folds . Mongolian folds are formed again by making an incision in the skin on the inner corner of the eye to make a valve on the skin to cover the caruncle, or by making a V-shaped incision in the inner corner of the eye and sewing it into a Y-shape. However, it is said that correction surgery needs to be done for at least half a year after the operation of the incision in the inner canthus, and it may not be possible to correct it depending on the extent to which the Mongolian folds have been removed. You will need to be diagnosed by a doctor at a medical institution.
In addition, it is said that it is difficult to completely restore the original eyes, so careful design decisions and simulations before surgery, and selection of medical institutions and doctors who will actually undergo surgery are important to prevent finish failure. ..
Surgery for incision of the inner canthus can be performed on a day trip, and although there are some differences depending on the medical institution, the procedure is roughly as follows. The time required will vary depending on whether the surgery is for one eye or both eyes, and for the combined use of other surgery. Please take good care of the counseling simulation time so that you can confirm the finished image and proceed after you are satisfied.
(1) Advance preparation
If you are taking any medicine that promotes blood circulation, be sure to consult with your doctor and ask for instructions on how to take it. Also, refrain from drinking alcohol the day before and try to wear clothes that do not tighten your body. Minors can also undergo surgery for an incision in the inner canthus, but a parental consent form is required.
(2) Counseling simulation
Check the overhang of the Mongolian folds and the shape of the eyes, and decide the surgical technique and the desired design while performing a simulation. If you have any concerns or doubts about the operation of the inner canthus, consult with the doctor at this time and check with the doctor until you are satisfied.
Finely mark the area where the skin is to be incised.
(4) Anesthesia / surgery
Local anesthesia is performed, and surgery is started according to the surgical procedure decided at the time of counseling. It is said that it takes about 30 minutes for one eye and about 1 hour for both eyes when performing only an incision in the inner corner of the eye, but it will take longer if other operations such as double plastic surgery are used together.
(5) Cooling / end
After surgery, the affected area is cooled to soothe swelling. You will be prescribed painkillers and will be able to go home on the day. In addition, bathing and strenuous exercise on the day are prohibited because blood circulation may be promoted and internal bleeding and swelling may worsen.
Since the surgery for cosmetic incision is a free medical treatment that is not covered by insurance, the fee varies depending on the medical institution, but the market price is about 80,000 to 200,000 yen for one eye and 100,000 to 400,000 yen for both eyes .
Since the incision in the inner corner of the eye involves extremely detailed work such as excision of Mongolian folds, replacement of skin, and trimming, it is said that the doctor's technique affects the finish.
If the area where the skin is excised is not wide, it is possible to correct it, but in order to prevent failures such as left-right difference finish and scars left after surgery, each person's different development of Mongolian folds and ideal eyes are also required. It is important to undergo surgery under a doctor who has a large number of cases of incision of the inner canthus and has a wealth of experience, in which the optimal surgical method can be selected for each image .
In addition, if it is difficult to finish the ideal eye area only by the operation of the inner canthus, the doctor who suggests other operations to be combined , the image held in advance by the counseling simulation and the finish after the operation There is also the option of undergoing surgery at a medical institution where the same doctor is in charge of everything from counseling to surgery so that there is no mistake.