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SISUN PREMIUM EYE SURGERY

SISUN Signature Procedure 5.

Complex Eyelid Reconstruction

A carefully planned approach to restoring a natural eye shape in complex revision cases.

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

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

SISUN Specialized Surgery

Complex Eyelid Reconstruction

Complex eyelid reconstruction is SISUN Plastic Surgery's scar reconstruction procedure that simultaneously improves
hook-shaped inner-corner indentation scars caused by previous incorrect medial epicanthoplasty,
the resulting out-fold double eyelids, depressed scars visible when the eyes are closed,
and thick, puffy eyelid creases.
For complex eyelid revision cases where revision surgery is difficult,
total reconstruction corrects them to a normal eye appearance.

Complex Eyelid Reconstruction Candidates

  • Severe out-fold scarring caused by thick, puffy eyelid creases
    and an excessively hook-shaped inner corner
  • Severe scar adhesion at the surgical site
    after multiple revision surgeries
  • Difficulty opening the eyes due to severe upper-eyelid hollowness
    and scar adhesion
  • Over-opened inner corners causing severe shape distortion,
    overexposed lacrimal caruncle,
    and indentation scars
  • Over-opened outer corners causing a D-shaped deformity,
    exposed red conjunctiva,
    and lifted mucosal scarring

Why Complex Eyelid Reconstruction Is Challenging

    • Incisional Ptosis Correction (Revision)+Epicanthoplasty Reconstruction (3 months)

    • Crease Lowering (Incisional Ptosis Correction) (Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery (1 year)

    • Incisional Ptosis Correction (Revision)+Epicanthoplasty Reconstruction (Revision)+Lateral Canthoplasty Reconstruction (Revision) (7 months)

    • Incisional Ptosis Correction (Revision)+Orbital Fat Grafting (1 year)

    • Incisional Ptosis Correction (Revision)+Axis Rotation (Revision)+Lateral Canthoplasty Reconstruction (Revision) (1 year 2 months)

    • [Right] Incisional Double Eyelid+Axis Rotation (Revision)+[Left] Epicanthoplasty Reconstruction (3 months)

    • Incisional Ptosis Correction (Revision)+Axis Rotation (Revision)+Lateral Canthoplasty + Lower Eyelid Surgery (Revision) (1 year 5 months)

    • Incisional Ptosis Correction (Revision)+Upper Epicanthoplasty (9 months)

    Complex eyelid reconstruction may involve severe tissue damage and adhesions, difficulty opening the eyes due to ptosis, complications from previous canthoplasty, and multiple eyelid creases. Surgery must work within the limits of the remaining skin and tissue, often addressing functional as well as cosmetic concerns. These cases require detailed planning and a combination of advanced surgical techniques.

Complex Eyelid Reconstruction by Type 1

Double Eyelid and Inner Corner Problems

A common complex revision case involves both puffy eyelid creases and problems at the inner corners. Double-eyelid surgery or the Double Line Technique alone may not address both concerns, so epicanthoplasty reconstruction or upper epicanthoplasty may also be needed.




1 Deep, prominent out-fold double eyelids (Double Line Technique+Epicanthoplasty Reconstruction+Upper Epicanthoplasty)

  • BeforeAfter

    Incisional Ptosis Correction (Revision)+Epicanthoplasty Reconstruction (6 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision)+Epicanthoplasty Reconstruction+Orbital Fat Grafting (1 year 4 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision) (Crease Lowering)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery (1 year)

  • BeforeAfter

    Incisional Ptosis Correction (Revision) (Crease Lowering)+Upper Epicanthoplasty (4 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision) (Crease Lowering)+Upper Epicanthoplasty (Revision)+Lateral Canthoplasty Reconstruction (Revision) (1 year 3 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision) (Crease Lowering)+Upper Epicanthoplasty (1 year 4 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision) (Crease Lowering)+Upper Epicanthoplasty+Lateral Canthoplasty Reconstruction (5 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision)+Epicanthoplasty Reconstruction (Revision)+Lateral Canthoplasty Reconstruction+Orbital Fat Grafting (3 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision) (Double Line Technique)+Epicanthoplasty Reconstruction (1 year)

  • BeforeAfter

    Incisional Ptosis Correction (Revision)+Medial Epicanthoplasty+Upper Epicanthoplasty+Orbital Fat Grafting+Lower Eyelid Fat Grafting (1 year 1 month)

  • BeforeAfter

    Incisional Ptosis Correction (Revision) (Crease Lowering)+Upper Epicanthoplasty (1 year)

  • BeforeAfter

    Incisional Ptosis Correction (Revision) (Crease Lowering)+Medial Epicanthoplasty (Revision)+Upper Epicanthoplasty (Revision) (1 year)

  • BeforeAfter

    Incisional Ptosis Correction (Revision) (Crease Lowering)+Epicanthoplasty Reconstruction (1 year)

  • BeforeAfter

    Incisional Ptosis Correction (Revision) (Crease Lowering)+Upper Epicanthoplasty (Revision)+Lateral Canthoplasty Reconstruction (Revision) (6 months)

  • BeforeAfter

    Incisional Ptosis Correction (Crease Lowering)+Medial Epicanthoplasty (Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery (3 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision) (Crease Lowering)+Epicanthoplasty Reconstruction (9 months)

  • BeforeAfter

    Incisional Double Eyelid (Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty (2 years 1 month)

  • BeforeAfter

    Incisional Ptosis Correction (Revision)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty+Lateral Canthoplasty Reconstruction+Orbital Fat Grafting (7 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision)+Epicanthoplasty Reconstruction (Revision)+Upper Epicanthoplasty (Revision) (6 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision) (Double Line Technique)+Epicanthoplasty Reconstruction (Revision)+Lateral Canthoplasty Reconstruction (7 months)

    Case 1. Deep Out-fold Scar

      Before

      • High double eyelid crease
      • Severe out-fold scar
      • Indentation scar / hook-shaped inner corner / overexposed lacrimal caruncle

    SISUN solution

    Epicanthoplasty Reconstruction Double Line Technique
    Correct indentation scar
    Correct hook shape
    Reduce excessive lacrimal exposure    		 Lower a thick,
    high double eyelid crease
    Out-fold correction → In-out fold
    • Before
    • 1 week
    • 7 months

    After

    As the indentation scar at the inner corner improved,
    the out-fold was corrected into a natural in-out fold.

    • Before
    • 7 months
    Case 2. Deep Out-fold Scar

      Before

      • High double eyelid crease
      • Severe out-fold scar
      • Indentation scar / overexposed lacrimal caruncle

    SISUN solution

    Epicanthoplasty Reconstruction Double Line Technique
    Correct indentation scar
    Reduce excessive lacrimal exposure    		 Lower a thick,
    high double eyelid crease
    Out-fold correction → In-out fold
    • Before
    • 1 week
    • 6 months

    After

    The deep out-fold scar extending to the inner corner
    was corrected into a natural in-out fold.

    • Before
    • 6 months
    Case 3. Deep Out-fold Scar

      Before

      • High double eyelid crease
      • Multiple creases (epicanthal fold-related)
      • Protruding Eyes

    SISUN solution

    Epicanthoplasty Reconstruction Double Line Technique
    Lower a thick,
    high double eyelid crease    		 Remove the epicanthal fold
    Out-fold correction → Hidden crease (inner double eyelid)
    Multiple creases improved
    • Before
    • 1 week
    • 1 month

    After

    The puffy eyelid crease was corrected into a natural hidden crease,
    and the multiple creases also improved.
    The double eyelid line will continue to soften over time.

    • Before
    • 1 month
2 Thick inner double eyelids (Double Line Technique+Upper Epicanthoplasty)

  • BeforeAfter

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

  • BeforeAfter

    Incisional Double Eyelid+Epicanthoplasty Reconstruction+Lateral Canthoplasty Reconstruction (Revision) (6 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision) (Crease Lowering)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery (1 year 6 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision)+Upper Epicanthoplasty (Revision)+Lateral Canthoplasty Reconstruction (Revision) (8 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision)+Upper Epicanthoplasty+Brow Lift+Orbital Fat Grafting (3 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery (1 year)

  • BeforeAfter

    Incisional Ptosis Correction (Revision)+Lateral Canthoplasty + Lower Eyelid Surgery (9 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision) (Crease Lowering)+Upper Epicanthoplasty (Revision)+Lateral Canthoplasty + Lower Eyelid Surgery (7 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision) (Double Line Technique)+Epicanthoplasty Reconstruction+Orbital Fat Grafting (6 months)

  • BeforeAfter

    Incisional Ptosis Correction (Crease Lowering) (Revision)+Upper Epicanthoplasty (Revision) (2 years 8 months)

    Case 1. Thick Inner Double Eyelid

      Before

      • Thick puffy eyelid crease at the inner corner
      • Epicanthal fold covering the pupil
      • Hook shape / overexposed lacrimal caruncle

    SISUN solution

    Epicanthoplasty Reconstruction Upper Epicanthoplasty (45-degree Canthoplasty) Double Line Technique
    Correct hook shape
    Reduce excessive lacrimal exposure    		 Remove the epicanthal fold Lower a thick,
    high double eyelid crease
      A sharper inner corner with
      a smooth parabolic upper eyelid curve
      (rounded-point restoration)
      Corrected to a natural
      in-out fold
    • Before
    • 1 week
    • 7 months

    After

    The thick fold at the inner corner became less prominent, the inner corner was more defined, and the upper eyelid formed a smoother curve with SISUN's rounded, pointed contour.

    • Before
    • 7 months
    Case 2. Thick Inner Double Eyelid

      Before

      • Puffy, drooping puffy fold at the inner corner
      • Epicanthal fold covering the pupil
      • A harsh-looking eye appearance

    SISUN solution

    Double Line Technique Upper Epicanthoplasty (45-degree Canthoplasty) Lateral Canthoplasty Reconstruction
    Lower the thick,
    puffy eyelid crease fold    		 Remove the sagging
    epicanthal fold    		 Lower the outer corner
    and widen the eye shape
      Out-fold correction → Inline double eyelid
      Crescent-shaped eyes
    • Before
    • 1 week
    • 1 year 6 months

    After

    As the thick puffy fold at the inner corner improved,
    it was corrected into a natural hidden crease.
    The space at the outer corner expanded to make the eyes look larger,
    and lowering the outer corner softened the previously harsh impression.

    • Before
    • 1 year 6 months
Complex Eyelid Reconstruction by Type 2

Canthoplasty Complications

Incorrect canthoplasty surgery (medial / upper / lateral / lower)
can cause tissue damage, shape deformity, scarring, and exposure of the lacrimal caruncle or conjunctiva,
which creates an unnatural hook-shaped appearance and aesthetically unfavorable eyes.

When functional problems such as dryness, redness, and pain are also present,
it can interfere with daily life.

To improve these issues, the cause of failure must be analyzed precisely,
then Epicanthoplasty Reconstruction or Lateral Canthoplasty Reconstruction should be performed to correct the complications.




3 Lateral Canthoplasty Reconstruction (Early Revision)

  • BeforeAfter

    Lateral Canthoplasty Reconstruction+Lateral Canthoplasty Reconstruction (Revision) (3 months)

  • BeforeAfter

    Lateral Canthoplasty Reconstruction+Lateral Canthoplasty Reconstruction (Revision) (3 months)

  • BeforeAfter

    Lateral Canthoplasty Reconstruction (1 month)

  • BeforeAfter

    Lateral Canthoplasty Reconstruction (1 month)

  • BeforeAfter

    Lateral Canthoplasty Reconstruction(3 months)

  • BeforeAfter

    Lateral Canthoplasty Reconstruction(3 months)

  • BeforeAfter

    Lateral Canthoplasty Reconstruction (6 months)

  • BeforeAfter

    Lateral Canthoplasty Reconstruction (6 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision)+Lateral Canthoplasty Reconstruction+Lateral Canthoplasty Reconstruction (4 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision)+Lateral Canthoplasty Reconstruction+Lateral Canthoplasty Reconstruction (4 months)

  • BeforeAfter

    Partial Incisional Ptosis Correction (Revision)+Upper Epicanthoplasty+Lateral Canthoplasty Reconstruction+Lateral Canthoplasty Reconstruction (Revision) (6 months)

  • BeforeAfter

    Partial Incisional Ptosis Correction (Revision)+Upper Epicanthoplasty+Lateral Canthoplasty Reconstruction+Lateral Canthoplasty Reconstruction (Revision) (6 months)

4 Combined Medial Epicanthoplasty Complications (Epicanthoplasty Reconstruction+Lateral Canthoplasty Reconstruction)

  • BeforeAfter

    Epicanthoplasty Reconstruction+Upper Epicanthoplasty (Revision)+Lateral Canthoplasty Reconstruction+Lateral Canthoplasty Reconstruction (Revision) (4 years 6 months)

  • BeforeAfter

    Non-incisional Double Eyelid (Revision)+Epicanthoplasty Reconstruction (Revision)+Upper Epicanthoplasty (Revision)+Lateral Canthoplasty Reconstruction+Lateral Canthoplasty Reconstruction (Revision) (2 years 7 months)

  • BeforeAfter

    Incisional Ptosis Correction (Revision) (Crease Lowering)+Epicanthoplasty Reconstruction+Upper Epicanthoplasty+Lateral Canthoplasty Reconstruction+Lateral Canthoplasty Reconstruction (Revision) (2 months)

  • BeforeAfter

    Epicanthoplasty Reconstruction+Lateral Canthoplasty Reconstruction+Lateral Canthoplasty Reconstruction (Revision) (5 months)

  • BeforeAfter

    Epicanthoplasty Reconstruction+Lateral Canthoplasty Reconstruction+Lateral Canthoplasty Reconstruction (Revision) (1 year)

  • BeforeAfter

    Epicanthoplasty Reconstruction (Revision)+Lateral Canthoplasty Reconstruction (1 year 4 months)

  • BeforeAfter

    Epicanthoplasty Reconstruction+Lateral Canthoplasty Reconstruction+Lateral Canthoplasty Reconstruction (Revision) (1 year 3 months)

  • BeforeAfter

    Epicanthoplasty Reconstruction+Lateral Canthoplasty Reconstruction (2 months)

  • BeforeAfter

    Epicanthoplasty Reconstruction+Lateral Canthoplasty Reconstruction+Lateral Canthoplasty Reconstruction (Revision) (1 year)

  • BeforeAfter

    Epicanthoplasty Reconstruction+Lateral Canthoplasty Reconstruction (1 year 2 months)

    Case 1. Canthoplasty Complications (Medial Epicanthoplasty / Lateral Canthoplasty)

      Before

      • Hook-shaped indentation scar / out-fold
      • Interrupted aegyo-sal line
      • D-shaped outer corner / splayed outer canthus

    SISUN solution

    Axis Rotation Non-incisional Double Eyelid Revision Lateral Canthoplasty Reconstruction
    Improve hook-shaped indentation scar
    Correct the out-fold
    Restore the aegyo-sal line    		 Correct a distorted
    double eyelid line    		 D-shape → pointed outer corner
      Natural semi-out fold
      • Before
      • 1 month
      • 1 year 6 months

      After

      Both the inner and outer corners had been over-opened,
      and the strong, awkward-looking eye shape was corrected.

      • Before
      • 1 year 6 months
      Case 2. Canthoplasty Complications (Medial Epicanthoplasty / Lateral Canthoplasty)

        Before

        • D-shaped corner / lifted epicanthal fold
        • Loose double eyelids
        • Multiple creases

      SISUN solution

      Epicanthoplasty Reconstruction Upper Epicanthoplasty (45-degree Canthoplasty) Incisional Ptosis Correction Revision
      Correct D-shaped corner
      Improve the lifted epicanthal fold      		 Remove the epicanthal fold Correct loose double eyelids
      Corrected to a natural in-out fold
      Multiple creases improved
      • Before
      • 1 week
      • 5 months

      After

      Changes to the inner corner and an elevated epicanthal fold after the previous medial epicanthoplasty had made the eyes appear narrower. Reconstruction created a more open appearance.

      • Before
      • 5 months
      Case 3. Canthoplasty Complications (Medial Epicanthoplasty / Lateral Canthoplasty)

        Before

        • D-shaped corner
        • Severe tissue damage and conjunctival exposure

      SISUN solution

      Lateral Canthoplasty Reconstruction
      Correct D-shaped corner
      Improve conjunctival exposure
      Reconstruct tissue
      • Before
      • 1 week
      • 1 year

      After

      Aesthetic and functional problems caused by the complication improved.
      The outer corner changed from a D-shape to a pointed contour,
      and dry eye, irritation, and pain also improved.

      • Before
      • 1 year
    Complex Eyelid Reconstruction by Type 3

    Multiple Eyelid Creases

    5 Severe Multiple Eyelid Creases (Early Revision)

    • BeforeAfter

      Incisional Ptosis Correction (4 months)

    • BeforeAfter

      Incisional Double Eyelid (Revision) (Crease Lowering) (3 months)

    • BeforeAfter

      Incisional Ptosis Correction (Revision) (Crease Lowering)+Upper Epicanthoplasty (Revision) (2 months)

    • BeforeAfter

      Incisional Ptosis Correction (5 weeks)

    • BeforeAfter

      Incisional Ptosis Correction+Upper Epicanthoplasty+Orbital Fat Grafting (4 months)

    • BeforeAfter

      Incisional Ptosis Correction (Revision)+Medial Epicanthoplasty (Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery (8 months)

    6 Multiple Creases with Severe Upper Eyelid Hollowing

    • BeforeAfter

      Upper Blepharoplasty with Ptosis Correction (Revision)+Orbital Fat Grafting+Lower Blepharoplasty (Revision)+Lower Eyelid Fat Grafting (10 months)

    • BeforeAfter

      Endoscopic Forehead Lift+Upper Blepharoplasty (Ptosis Correction)+Orbital Fat Grafting (1 year 1 month)

    • BeforeAfter

      Incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty+Orbital Fat Grafting+Lateral Canthoplasty + Lower Eyelid Surgery (1 year)

    • BeforeAfter

      Upper Blepharoplasty with Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty+Brow Lift+Orbital Fat Grafting (8 months)

    • BeforeAfter

      Incisional Ptosis Correction+Upper Epicanthoplasty+Orbital Fat Grafting (5 months)

    • BeforeAfter

      Incisional Ptosis Correction+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery+Orbital Fat Grafting (8 months)

    • BeforeAfter

      Incisional Ptosis Correction+Orbital Fat Grafting+Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery (1 year)

    • BeforeAfter

      Incisional Ptosis Correction+Brow Lift+Orbital Fat Grafting (8 months)

    • BeforeAfter

      Incisional Ptosis Correction (Revision)+Orbital Fat Grafting+Epicanthoplasty Reconstruction+Upper Epicanthoplasty (Revision)+Lateral Canthoplasty Reconstruction (7 months)

    • BeforeAfter

      Incisional Ptosis Correction (Revision)+Orbital Fat Grafting+Lower Blepharoplasty+Lower Eyelid Fat Grafting (2 years 4 months)

    Complex Eyelid Reconstruction

    Select photos with a Click badge to read the full case on our blog.
    Case 1
    절개눈매교정(재)(라인낮추기)+앞트임복원(7개월)
    Before
    After
    Case 2
    앞트임복원+뒤트임복원+밑트임(재)()
    Click
    Before
    After
    Case 3
    절개눈매교정(재)+윗트임+뒤트임+밑트임+안와지방이식(4개월)
    Click
    Before
    After
    Case 4
    절개눈매교정(재)(라인낮추기)+앞트임복원(3개월)
    Before
    After
    Case 5
    절개눈매교정(근육퇴축술)+앞트임복원(4개월)
    Click
    Before
    After
    Case 6
    절개 쌍꺼풀(재)(라인낮추기)+앞트임복원(3개월)
    Click
    Before
    After
    Case 7
    라인낮추기(재)+앞트임복원(10개월)
    Before
    After
    Case 8
    라인낮추기(재)+윗트임+뒤트임+밑트임(6개월)
    Click
    Before
    After
    Case 9
    절개눈매교정(재)+축돌리기(3개월)
    Click
    Before
    After
    Case 10
    라인낮추기+앞트임복원+밑트임(재)(6개월)
    Click
    Before
    After
    Case 11
    절개눈매교정(재)+뒤트임(재)+밑트임(재)(1년2개월)
    Click
    Before
    After
    Case 12
    라인낮추기+앞트임복원(4개월)
    Before
    After
    Case 13
    라인낮추기(왼쪽)+앞트임복원+뒤트임(재)(2개월)
    Before
    After
    Case 14
    절개눈매교정(재)+윗트임(재)+뒤트임+밑트임(4개월)
    Before
    After
    Case 15
    앞트임복원(1개월)
    Before
    After
    Case 16
    눈썹거상+상안검(눈매교정)+뒤트임+밑트임(2개월)
    Before
    After
    Case 17
    절개눈매교정(재)+윗트임(4개월)
    Before
    After
    Case 18
    눈썹거상+절개눈매교정+하안검+안와지방이식(7개월)
    Before
    After
    * 환자의 사전동의를 받아 촬영한 사진입니다.

    Complex Eyelid Reconstruction SISUN TV

    Canthoplasty Reconstruction Doctor's Note