Can The Inner Corner Of My Eyes Be Turned Down?

Q: Dr. Eppley, I had some questions about a procedure involving the epicanthic fold area. My eyes are a bit close together mostly because of the exposure of my tear ducts. I had been looking around at possible procedures to increase the distance between my eyes, and found a few studies in which reconstruction of an epicanthic fold was done. I was interested in seeing if you would be able to offer something like this. I don’t really have an epicanthic fold, and don’t really desire one, but I would like something similar to increase the distance between my eyes. I’ve attached photos of my eyes & the edited result I desire. Again, I would not really like the “fold” that many asians typically have, but perhaps just more skin covering the tear duct. Thank you for your time!

A: What your edited image shows is a change in the angulation of the inner corner of the eyes, a more downward location of the corner which may slightly increase the distance between your eyes and create the appearance of more skin covering the lacrimal lake area. Since you don’t have an epicanthal fold This is most effectively done with a tissue rearrangement technique as shown in the attached diagram.

Dr. Barry Eppley

World-Renowned Plastic Surgeon