How it works
Everything begins with a consultation. Your surgeon listens to what you want to change, watches how your lids and inner corners move as you open and close your eyes, and then reviews with you which techniques might fit. This is also the time to ask anything on your mind.
Two groups of techniques often go together. Widening the eye opening (usually done at the outer corner, called lateral epicanthoplasty or lateral canthoplasty) lengthens the eye horizontally. Epicanthal fold treatment (medial epicanthoplasty) reduces the skin fold that covers the inner corner, revealing the part of the corner that was hidden.
The procedure is usually done under local anesthesia, sometimes with light sedation to help you relax. Your surgeon makes very small incisions along the natural creases of the lid, adjusts the skin and the tissue beneath it, and closes with fine sutures. The incisions are placed so the scars sit tucked into the lid crease or close to the natural edge.
How long it takes depends on which techniques are combined, and usually falls within about one to two hours. You can usually go home the same day.