When an epicanthoplasty intended to widen your eyes leaves behind a wide and deep depressive scar at the inner corner, the psychological stress you feel every time you look in the mirror is beyond words. Many patients desperately wish to erase these unsightly marks completely in just a single surgery.
However, if the scar is extensive, the skin is thick, and there is a lack of surrounding loose tissue, forcing a one-time correction can lead to even more severe side effects. Today, we will look closely at the actual progress of a Staged Epicanthoplasty Scar Revision at She One Plastic Surgery, where the correction was precisely divided into two stages to respect the anatomical limits of the patient’s tissues.
1. Why Wide Depressive Scars Cannot Be Excised All at Once
In plastic surgery, removing a scar does not mean shaving off the surface mark with a laser; it means surgically excising the scar tissue itself and then pulling the remaining healthy skin together to suture it.
What happens if a wide scar is excised all at once when the patient lacks excess skin at the inner corner? A strong tension will occur, tightly pulling the forcibly sutured skin. If the skin cannot withstand this tension, the sutured area may tear, causing the scar to widen even more than before, or in severe cases, it can block blood flow, leading to fatal tissue necrosis.
2. Safety First: The Principle of Staged Epicanthoplasty Scar Revision
To overcome these structural limitations of the tissues, She One Plastic Surgery performs a Staged Epicanthoplasty Scar Revision based on advanced clinical precision.
This approach sets aside the ambition to remove all scars at once. Instead, we initially reduce the scar only up to the safe limit that the tissue can withstand. After the first surgery, the absolute area of the scar is reduced, but the pulling of the skin might temporarily increase the exposure of the red caruncle (inner eye tissue) or alter the shape of the inner corner.
After several months, when the surgical site softens and the skin regains its elasticity and yields new excess tissue, the second surgery is performed to remove the remaining depressive scar. At this stage, the temporary caruncle exposure and shape distortion from the first step are meticulously refined using double flap techniques and multiple micro-sutures, achieving the final balanced eye shape.
3. Two Months Post 2nd Surgery: Structural Stability and Positive Changes
Staged Epicanthoplasty Scar Revision Before and After (before – after 1st stage – after 2nd stage)
This is the appearance two months after the second surgery, having completed the entire two-stage revision process, showing a much more stabilized tissue condition.
Looking at the results, you can see that the wide depressive scar, which previously occupied the entire inner corner and caused aesthetic discomfort, has been smoothly refined through tissue repositioning. Furthermore, the caruncle exposure and shape alteration that unavoidably occurred after the first surgery have been softly corrected back to their natural V-shape through the second revision. (Note: The faint pigmentation left on the incision line is being progressively improved through laser treatments at our clinic.)
Meticulous Care to Restore the Comfort of Your Daily Life
She One Plastic Surgery deeply sympathizes with the anxious and desperate hearts of patients who want to finish everything in just one surgery. However, because a forced surgery can leave another painful mark, our clinic always proposes the safest and most honest treatment path that your anatomical conditions and skin capacity allow.
By finding solutions even under complex and difficult conditions that others might avoid, we will be your reliable supporter. We are dedicated to ensuring that every corrective procedure is your final, definitive surgery, helping you regain your lost comfort and harmonious smile.
* Before and after photos of this patient are available on the She One Plastic Surgery official blog. *
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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.
