The eyes are often described as the “windows to the soul,” acting as the focal point for facial harmony and emotional expression. In the world of aesthetic enhancement, Double eyelid surgery (In Thai known as ‘ทำตาสองชั้นเปิดหัวตา‘) is a transformative procedure designed to create a more defined, youthful, and vibrant look.
However, many individuals find that simply adding a lid crease doesn’t quite achieve that “dream look.” This is because the overall impact of the eyes is determined not just by the crease, but by the horizontal length and the shape of the inner corners. To achieve a truly balanced and breathtaking result, combining a crease with inner corner refinement is often the gold standard.
What is Epicanthoplasty?
Epicanthoplasty, or inner corner surgery, is a specialized oculoplastic technique designed to reshape the inner part of the eye. Many individuals of Asian descent have a “Mongolian Fold” (epicanthal fold)-a small flap of skin that partially or fully covers the inner corner (medial canthus) of the eye.
While this fold is a natural anatomical feature, it can make the eyes appear shorter, farther apart, or even “webbed.” By precisely adjusting this fold, a surgeon can reveal the hidden inner corner, effectively lengthening the eye horizontally. This creates a brighter, more “open” expression and allows the double eyelid crease to flow naturally from start to finish.
5 Signs You Should Combine Double Eyelid Surgery with Epicanthoplasty
Achieving the perfect eye shape requires more than just technical skill; it requires an artistic eye for proportion. If you recognize these signs, a combined procedure at Saonanon Clinic may be your best path to a rejuvenated look:
1) An Optical Illusion of “Wide-Set” Eyes
Ideally, the distance between your eyes should be roughly equal to the width of one eye. If your Mongolian folds are thick, they shroud the inner corners, making your eyes look much farther apart than they actually are. Opening the inner corners corrects this balance instantly.
2) Eyes That Appear Round and “Short”
If your eyes look small or “button-like” even after trying to create a crease with tape or glue, it is likely due to a lack of horizontal length. Opening the inner corner elongates the eye, giving it a more elegant, “almond” shape.
3) A Blunt or Downward-Hooked Inner Corner
If the inner corner of your eye is rounded or hooks sharply downward, it can create a “fierce” or “angry” look. Epicanthoplasty softens this angle, revealing a cleaner point that makes your gaze appear much more approachable and refreshed.
4) Dreaming of a “Parallel” or “Western-Style” Crease
For those desiring a crease that runs parallel to the lash line without tapering into the inner corner-commonly known as the “Sui-Foh” (สายฝอ) or Western look-opening the inner corner is often a technical requirement. Without this procedure, the Mongolian fold (Epicanthal fold) exerts downward tension that pulls the new crease inward. This creates an “in-fold” rather than the desired “out-fold.” By opening the inner corner, the surgeon can release this tension, allowing the double eyelid crease to remain visible and parallel from the inner to the outer corner, successfully meeting high-fashion aesthetic goals.
5) The “Tired Eye” Syndrome
Thick skin at the inner corners can make the eyes look perpetually hooded or heavy. Combining Blepharoplasty with an inner corner lift “wakes up” the entire face, removing the shroud that makes you look exhausted even when you’re well-rested.
The success of an aesthetic procedure often depends on anatomical precision. While standard double eyelid surgery creates the fold itself, opening the inner corners (Epicanthoplasty) is a specialized technique used to refine the eye’s shape, making them appear longer and more balanced. This adjustment significantly impacts the overall facial harmony and aesthetic outcome.
Choosing the right technique requires an individualized analysis to ensure the results are both functional and anatomically proportional. For those considering an enhancement of the eye area, consulting with a specialist at Saonanon Clinic can provide a tailored treatment plan. Professional evaluation will determine if Blepharoplasty or an inner corner opening is necessary to achieve your desired look while maintaining a natural and confident appearance.









