These slides are from the Eyelid Surgery Study Group symposium in July 2016. Let me start with the epicanthal fold itself.

Academic paper by Dr. Choi Dong-il — Double Eyelid Revision

The epicanthal fold blocks the medial canthus, as in figure A. After medial epicanthoplasty, the medial corner opens up, like figure B. This was cited from the paper below.

Academic paper by Dr. Choi Dong-il — Double Eyelid Revision
Double Eyelid Revision procedure in progress

But if the medial release is overdone, the eye looks unnatural.

Eye photo from a Double Eyelid Revision case
Eye photo from a Double Eyelid Revision case

The technique I described aims for the medial corner to open without overcorrecting, so the result stays natural.

Conference presentation by Dr. Choi Dong-il — Double Eyelid Revision

These slides are from the lecture. When the lacrimal lake is overly exposed, an epicanthal-fold restoration like the one below cleans it up. (See my 2014 talk for reference.)

Eye photo from a Double Eyelid Revision case

Epicanthal folds come in many shapes.

Conference presentation by Dr. Choi Dong-il — Double Eyelid Revision

Treating a complication is much harder than preventing one in the first place.

Dr. Choi Dong-il presenting at an academic conference
Dr. Choi Dong-il presenting at an academic conference
Dr. Choi Dong-il presenting at an academic conference
Image related to Double Eyelid Revision
Image related to Double Eyelid Revision

2016 was a busy year.