SISUN PREMIUM EYE SURGERY

Repeat Canthoplasty After Reconstruction

If you are dissatisfied after reconstruction surgery,
revision can restore the eye shape you originally wanted.

  • Surgery Duration
    60 min
  • Anesthesia
    IV Sedation / Local
  • Stitch Removal
    7 days
  • Hospitalization
    Same-day Discharge
  • Recovery Period
    7 days

*Individual results may vary. Side effects such as bleeding, infection, and inflammation may occur after cosmetic surgery. Please consult your doctor.

Repeat Canthoplasty After Reconstruction ?

Medial Epicanthoplasty (Revision)+Lateral Canthoplasty (Revision)+Lower Eyelid Surgery(1 year 1 month)

Lateral Canthoplasty(revision)+Lower Eyelid Surgery(revision)(1 month)

When reconstruction procedures such as medial epicanthoplasty reconstruction or lateral canthoplasty reconstruction
do not produce the desired eye shape, revision surgery may be needed
to move the result closer to the original goal.

Re-canthoplasty after reconstruction is technically more demanding than the first operation.
Before revision, we analyze the prior surgical method, residual scarring,
the condition of the skin, and the direction of correction from multiple angles
to determine the best approach.

Repeat Canthoplasty After Reconstruction Candidates

  • Unnatural
    appearance
  • Previous surgery
    did not properly
    achieve reconstruction
  • Over-reconstruction
    after surgery causing
    constricted, fierce-looking
    eyes

After Reconstruction: repeat canthoplasty

When reconstruction has been overcorrected,
leaving the eyes constricted and the inner corner shape unsatisfactory,
canthoplasty revision surgery is considered.

Medial Epicanthoplasty Repeat Canthoplasty After Reconstruction

Why does epicanthoplasty reconstruction fail?
  • Square Shape

  • C-shaped Round Form

  • Over-Reconstructed Fish-Eye Shape

  • Hook Shape

The inner corner has thin skin under tension and very limited space, so surgery requires careful planning and precise technique. Closing it too much without accounting for the underlying tissue and corner shape can leave an overly rounded or squared-off contour and an unnatural appearance.

  • #Constricted appearance
  • #Short horizontal eye length
  • #Awkward eye appearance
  • #Wide intercanthal distance

Square Shape

Medial Epicanthoplasty (Revision)(2 months)

Medial Epicanthoplasty (Revision)+Upper Epicanthoplasty (45-degree Canthoplasty)+Lateral Canthoplasty (Revision)+Lower Eyelid Surgery(Revision)(1 year 2 months)

Medial Epicanthoplasty (Revision)+Lateral Canthoplasty (Revision)+Lower Eyelid Surgery(1 year 1 month)

Axis Rotation(Epicanthoplasty Reconstruction+Upper Epicanthoplasty)(3 months)

Medial Epicanthoplasty (Revision)+Upper Epicanthoplasty (45-degree Canthoplasty)(6 weeks)

Medial Epicanthoplasty (Revision)(1 year 2 months)

Epicanthoplasty Reconstruction (Revision) (1 year 4 months)

Medial Epicanthoplasty+Upper Epicanthoplasty (45-degree Canthoplasty)(4 months)


C-shaped Round Form

Medial Epicanthoplasty + Upper Epicanthoplasty + Lower Eyelid Surgery Reconstruction (2 months)

Medial Epicanthoplasty+Upper Epicanthoplasty (45-degree Canthoplasty)(4 months)

Medial Epicanthoplasty (Revision)(1 week)

Non-incisional Double Eyelid (Revision) + Epicanthoplasty Reconstruction (11 months)

Medial Epicanthoplasty (Revision)(1 year 2 months)

Medial Epicanthoplasty+Upper Epicanthoplasty (45-degree Canthoplasty)+Lateral Canthoplasty(Revision)(1 year 9 months)

Epicanthoplasty Reconstruction (Revision) (1 year 4 months)

Medial Epicanthoplasty+Upper Epicanthoplasty (45-degree Canthoplasty)(4 months)


Over-Reconstructed Fish Eye shape

Medial Epicanthoplasty (Revision)(10 months)

Non-incisional Double Eyelid (Revision) + Medial Epicanthoplasty (Revision) (1 year 6 months)

Incisional Ptosis Correction (Revision) + Medial Epicanthoplasty (Revision) + Upper Epicanthoplasty (Revision) (4 months)

Medial Epicanthoplasty (Revision) + Lateral Canthoplasty + Lower Eyelid Surgery (7 months)

Medial Epicanthoplasty (Revision)+Upper Epicanthoplasty (45-degree Canthoplasty)+Lateral Canthoplasty (Revision)+Lower Eyelid Surgery(7 months)

Medial Epicanthoplasty (Revision)+Upper Epicanthoplasty (45-degree Canthoplasty) (Revision)(2 months)

Medial Epicanthoplasty (Revision)+Upper Epicanthoplasty (45-degree Canthoplasty) (Revision)(4 months)

Medial Epicanthoplasty (Revision) + Upper Epicanthoplasty (Revision) + Lateral Canthoplasty Reconstruction + Lower Eyelid Surgery (Revision) (1 year)


Hook Shape

Medial Epicanthoplasty (Revision) + Lateral Canthoplasty + Lower Eyelid Surgery (2 months)

Non-incisional Double Eyelid (Revision) + Epicanthoplasty Reconstruction + Upper Epicanthoplasty (Revision) (1 year 1 month)

Medial Epicanthoplasty (Revision)(2 months)

Non-incisional Double Eyelid (Revision) + Medial Epicanthoplasty (Revision) (1 year 6 months)

Non-incisional Double Eyelid (Revision) + Medial Epicanthoplasty (Revision) (11 months)

Medial Epicanthoplasty+Upper Epicanthoplasty (45-degree Canthoplasty)(4 months)

Medial Epicanthoplasty (Revision)+Upper Epicanthoplasty (45-degree Canthoplasty) (Revision)(3 months)

Epicanthoplasty Reconstruction+Upper Epicanthoplasty(3 months)

SISUN Repeat Canthoplasty After Reconstruction POINT

When Can Revision Be Performed?

Results vary by patient, but the tissue must stabilize before
a successful revision can be expected.

In general, stabilization takes about 6 months to 1 year.
After surgery, hypertrophic scar tissue becomes thicker and tighter,
so the damaged tissue from reconstruction must recover to a certain degree
before revision surgery is possible.


Therefore, revision can usually be performed
once at least 6 months have passed and the tissue has stabilized.

Repeat Canthoplasty After Reconstruction

Why does lateral canthoplasty reconstruction fail?
  • Upturned Outer Eye Corner

  • Over-Reconstruction

When lateral canthoplasty reconstruction is performed
without considering the overall size and shape of the eyes,
and focuses only on scar removal and closing the separated outer corner,
over-reconstruction can leave the eyes looking even more constricted,
leading patients to consider repeat canthoplasty.

  • #Constricted eye appearance
  • #Short horizontal eye length
  • #Upturned Outer Eye Corner
  • #Fiercer eye appearance

Repeat Canthoplasty After Reconstruction Procedure

Lateral Canthoplasty(Revision)(6 weeks)

Lateral Canthoplasty(Revision)(1 week)

Done Right from the Start!
SISUN Lateral Canthoplasty Reconstruction + Lower Eyelid Surgery

Preserve eye-opening size while creating a more open-looking shape.

Conjunctival exposure, square-shape adhesion

Lateral Canthoplasty Reconstruction

Lateral Canthoplasty Reconstruction + Lower Eyelid Surgery

After lateral canthoplasty reconstruction, the eyes can feel smaller and more constricted,
so many patients start considering another revision.

To help prevent this, SISUN Plastic Surgery
combines lateral canthoplasty reconstruction with lower eyelid surgery
to proactively reduce dissatisfaction related to smaller-looking eyes.

Through detailed communication with each patient, we carefully plan
how much scar tissue to release and which direction the shape correction should take.

  • [Left] Incisional Ptosis Correction (Revision) [Both] Lateral Canthoplasty Reconstruction + Lower Eyelid Surgery (Revision) (2 months)

  • Lateral Canthoplasty Reconstruction + Lower Eyelid Surgery (Revision) (2 months)

  • Lateral Canthoplasty Reconstruction + Lower Eyelid Surgery (Revision) (2 years 8 months)

  • [Left] Natural Adhesion Double Eyelid (Revision) + Upper Epicanthoplasty
    [Both] Lateral Canthoplasty Reconstruction + Lower Eyelid Surgery (Revision) (3 months)

SISUN Plastic Surgery's
Canthoplasty Revision is Different.

Revision canthoplasty often means going through multiple surgeries,
so the burden of needing another procedure can feel especially heavy.

That is why SISUN Plastic Surgery focuses on
understanding each patient's goals precisely and improving the eyes toward
the ideal shape they originally wanted from the very first surgery.

SISUN Canthoplasty & Reconstruction Lab

Are canthoplasty and reconstruction different procedures?

“NO!”

Canthoplasty and reconstruction both reshape the inner and outer corners of the eyes, so experience in both approaches is important when choosing a clinic. SISUN's Canthoplasty & Reconstruction Lab draws on experience in both procedures. We assess each patient's concerns and consider correction of complications, corner shape, eye-opening size, and overall appearance when planning surgery.

Dr. Shin's Note Canthoplasty Revision

Select photos with a Click badge to read the full case on our blog.
Medial Epicanthoplasty Revision Surgery
Case 1
앞트임(재)(4년1개월)
Before
After
Assessment

Although medial epicanthoplasty had been performed, the epicanthal fold at the inner corner remained, leaving the eyes looking constricted.

Procedure Notes

Medial epicanthoplasty revision released the inner-corner epicanthal fold, opening the previously constricted inner eye area and improving the overall appearance.

Case 2
[복원 후 재트임]앞트임(재)(2개월)
Before
After
Assessment

Medial epicanthoplasty at another clinic three years earlier had been overly opened, followed by medial epicanthoplasty reconstruction one year ago. The inner eye area remained covered and constricted by an epicanthal fold; improvement of this closed-looking contour was requested.

Procedure Notes

Medial epicanthoplasty revision released the inner-corner fold while allowing appropriate lacrimal-lake exposure for a more open eye contour. The previously awkward out-fold double-eyelid line was also refined naturally.

Case 3
앞트임(재)+윗트임+절개눈매교정(1년2개월차)
Before
After
Assessment

The inner corner was covered by an epicanthal fold, obscuring the double-eyelid line, with no lacrimal-lake exposure and a constricted appearance.

Procedure Notes

Medial and upper epicanthoplasty were performed together to release the epicanthal fold and open the lacrimal lake, creating a natural in-out double-eyelid line.

Case 4
앞트임(재)+윗트임(5주)
Before
After
Assessment

The inner eye area was covered by an epicanthal fold, giving the eyes a constricted appearance.

Procedure Notes

Medial and upper epicanthoplasty opened the previously constricted inner eye area, resulting in a natural, more open eye contour.

Case 5
앞트임(재)+뒤트임+밑트임(9개월)
Before
After
Assessment

Medial epicanthoplasty at another clinic four years earlier had produced limited effect, and revision was requested to improve the constricted-looking eyes.

Procedure Notes

Considering eye shape and facial proportions, a subtle medial epicanthoplasty created a natural opening without overcorrection, resulting in a more open eye contour.

Case 6
앞트임(재)+윗트임(1주)
Before
After
Assessment

Previous medial epicanthoplasty at another clinic had limited effect, so revision was requested.

Procedure Notes

Medial epicanthoplasty revision exposed the lacrimal lake appropriately, while upper epicanthoplasty released the overlying epicanthal fold. The visible horizontal eye length increased, resulting in a more open eye contour.

Case 7
앞트임(재)+뒤트임+밑트임(6주)
Before
After
Assessment

The patient had previously undergone medial epicanthoplasty, but the epicanthal fold remained, so revision was requested.

Procedure Notes

The hooked epicanthal fold was released while preserving the existing degree of lacrimal lake exposure.

Case 8
[복원 후 재트임]앞트임(재)(1개월)
Before
After
Assessment

Dissatisfied with medial epicanthoplasty performed elsewhere eight years earlier, reconstruction was performed, but the inner corner became rounded and closed-looking, with scarring still unresolved.

Procedure Notes

Medial epicanthoplasty revision improved the inner-corner scar and refined the rounded, closed inner corner into a defined contour, creating a natural eye appearance.

Case 9
앞트임(재)+윗트임+절개쌍꺼풀(재)(3개월)
Before
After
Assessment

Prior medial epicanthoplasty had limited effect, and the downward-pointing inner corner made the eyes look narrow.

Procedure Notes

Medial epicanthoplasty revision and upper epicanthoplasty were performed together, opening the inner corner and refining the double-eyelid starting point into a natural semi-out line.

Case 10
앞트임(1개월)
Before
After
Assessment

The downward-pointing inner corner made the eyes look narrow.

Procedure Notes

Medial epicanthoplasty expanded the eye contour, creating a more open appearance.

Case 11
앞트임(재)+윗트임+뒤트임+밑트임(2개월)
Before
After
Assessment

Although medial epicanthoplasty was performed two years earlier, the inner-corner shape was unsatisfactory and correction was requested.

Procedure Notes

To avoid excessive lacrimal-lake exposure, subtle medial and upper epicanthoplasty refined the inner-corner contour.

Case 12
앞트임(재)+윗트임+절개쌍꺼풀(재)(2개월)
Before
After
Assessment

Although medial epicanthoplasty was performed three years earlier, the lacrimal lake was not exposed at all, leaving the eyes looking constricted.

Procedure Notes

Medial and upper epicanthoplasty were combined so that after opening the inner corner, the double-eyelid line would connect more naturally.

* 환자의 사전동의를 받아 촬영한 사진입니다.
Upper Epicanthoplasty (45-degree Canthoplasty) Revision Surgery
Case 1
윗트임(재)+절개눈매교정(5주)
Before
After
Assessment

The double-eyelid starting point was covered by an epicanthal fold, creating an unnatural contour.

Procedure Notes

Upper epicanthoplasty improved the unnatural upper-lid line at the inner corner into a natural parabolic contour, resulting in a more natural appearance.

Case 2
윗트임(재)+절개눈매교정(재)+뒤트임+밑트임(5개월)
Before
After
Assessment

The 45-degree inner-corner area was covered by an epicanthal fold, so the double-eyelid line was not visible.

Procedure Notes

Releasing the inner-corner epicanthal fold created a rounded, parabolic crescent eye shape and a softer overall impression.

Case 3
윗트임(재)+절개쌍꺼풀(재)(3개월)
Before
After
Assessment

The eyelid contour was nearly straight from the inner corner to the center of the iris. The inner corner partly covered the iris, creating a sharp appearance.

Procedure Notes

Removal of the 45-degree inner-corner epicanthal fold improved the contour to a softer appearance.

Case 4
윗트임(재)(1개월)
Before
After
Assessment

The hook-like shape at the inner corner made the eyes appear harsh, and improvement was requested.

Procedure Notes

Upper epicanthoplasty improved the hook-like inner-corner shape, exposing more of the iris and softening the harsh-looking eye contour.

Case 5
윗트임(재)+절개눈매교정(재)(3개월)
Before
After
Assessment

While planning double-eyelid revision surgery, a semi-out double-eyelid line was desired.

Procedure Notes

An epicanthal fold covered the 45-degree inner-corner area. Because eyelid revision alone could not readily change the crease, upper epicanthoplasty was added to create a defined semi-out crease.

Case 6
윗트임(재)+자연유착매몰(재)+뒤트임복원+밑트임(재)(3개월)
Before
After
Assessment

Improvement of a thin, low double-eyelid line was desired.

Procedure Notes

Upper epicanthoplasty and natural-adhesion buried-suture double-eyelid surgery raised the low, subtle in-fold crease to create a natural-looking in-out crease.

Case 7
윗트임+절개쌍꺼풀(재)(3개월)
Before
After
Assessment

Although ptosis correction had been performed previously, the line had loosened, and an in-out double-eyelid line was desired.

Procedure Notes

Revision double-eyelid surgery and upper epicanthoplasty created a line that was visible from the inner corner in a natural in-out contour.

Case 8
윗트임(재)+뒤트임+밑트임+절개눈매교정(재)(2개월)
Before
After
Assessment

The inner double-eyelid line was covered and improvement was desired, along with a softer eye contour.

Procedure Notes

Upper epicanthoplasty revealed the covered double-eyelid line, creating a natural in-out line.

* 환자의 사전동의를 받아 촬영한 사진입니다.
Lateral Canthoplasty Revision Surgery
Case 1
뒤트임(재)(1주)
Before
After
Assessment

Lateral canthoplasty twelve years earlier had over-opened the outer corner, followed by lateral canthoplasty reconstruction four years ago.

Procedure Notes

The outer eye area had become too short, so another lateral canthoplasty revision was performed to restore a more open contour.

Case 2
뒤트임(재)(4개월)
Before
After
Assessment

Lateral canthoplasty three years earlier had produced limited effect.

Procedure Notes

Revision lateral canthoplasty increased the horizontal eye opening, creating a more open-looking contour.

Case 3
뒤트임(재)+자연유착매몰(재)(7개월)
Before
After
Assessment

Lateral canthoplasty one year earlier had not produced the desired effect.

Procedure Notes

After lateral canthoplasty revision, the eyes became visibly longer horizontally.

Case 4
뒤트임(재)
Before
After
Assessment

The eyes had a round, soft appearance, but compared with their vertical dimension, the horizontal length was short, creating a constricted impression. Although lateral canthoplasty was performed one year earlier, it re-adhered and further opening was desired.

Procedure Notes

Lateral canthoplasty revision released the improperly adhered outer corner and re-expanded it to increase horizontal eye length. As a result, the horizontal-to-vertical eye proportion was improved to a more balanced appearance.

* 환자의 사전동의를 받아 촬영한 사진입니다.
Lower Eyelid Surgery Revision Surgery
Case 1
뒤트임(재)+밑트임(재)(9개월)
Before
After
Assessment

Lateral and lower canthoplasty were performed one year earlier, but the effect was limited.

Procedure Notes

Lateral and lower canthoplasty revision was performed, creating an overall larger, more open eye contour.

Case 2
뒤트임+밑트임(재)(1개월)
Before
After
Assessment

The outer corner was constricted and closed, with an upward tilt that gave a harsh impression; improvement was requested.

Procedure Notes

The outer eye area was expanded, increasing visible eye size, and lower canthoplasty lowered the upturned contour for a softer appearance.

Case 3
뒤트임(재)+밑트임(재)(1개월)
Before
After
Assessment

Improvement of a harsh, intense-looking impression was requested.

Procedure Notes

Lowering the outer portion of the lower lid at a 45-degree angle softened the sharp appearance.

Case 4
뒤트임(재)+밑트임(재)+윗트임(재)(1년3개월)
Before
After
Assessment

The patient wanted revision because previous lateral and lower canthoplasty had produced limited improvement.

Procedure Notes

The outer eye opening was widened within the available anatomical limits, and the outer corner was lowered for a gentler appearance.

* 환자의 사전동의를 받아 촬영한 사진입니다.

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2026.10.22

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