Many individuals struggling with small or Sad Eyes , a consistently tired appearance, or poorly defined eyelid creases often find themselves spending a significant amount of time applying makeup and Upper Blepharoplasty (Double Eyelid) tape every single day.
These issues frequently stem from an anatomical feature known as an epicanthal fold (often referred to as a "closed inner eye corner"), which is a highly common trait among Asian demographics. This article explores exactly what this structural feature is and outlines effective solutions to help you achieve naturally bright and beautiful eyes.
What Are Closed Inner Eye Corners?
In medical terminology, an epicanthal fold refers to the excess skin or tissue that overlaps and covers the inner corner of the eye. This extra fold of skin causes the natural eyelid crease—whether you have monolids or existing double eyelids—to tuck inward and hide behind the tissue. Consequently, this can make the eyes appear smaller, cause the outer corners to look droopy, age your overall facial appearance, and even create uneven or asymmetrical eyelid creases.
Common Misconceptions About Treating Epicanthal Folds
When addressing epicanthal folds, many assume the most direct solution involves surgically cutting the inner corners and extensively removing eyelid skin to lift the outer edges.
However, with over 40 years of clinical experience, Dr. Choladhis has observed that making direct incisions at the inner eye corners based on traditional theories often leaves highly visible scarring. Furthermore, in many cases, the inner corners stubbornly remain closed despite the surgery.
Additionally, forcefully widening the inner corners beyond the eye's natural structural limits or creating an excessively high eyelid crease can result in a startling, unnatural appearance often referred to as "staring" or "floating" eyes.
Why Choose TRP Hospital for Your Eye Concerns?
If you are looking to beautifully resolve your eye issues without the risk of large, visible scars, Teeraporn Hospital offers specialized techniques uniquely designed to meet your needs:
- Short incision technique and the 3-point Lock System: Instead of making long surgical cuts, our surgeons utilize a micro-puncture technique combined with the 3-point Lock System. This approach creates a new eyelid crease that arcs over the epicanthal fold, allowing the inner eye corner to open up organically. It also effectively lifts drooping outer corners without leaving behind a long, noticeable scar.
- Minimal pain, swelling, and downtime: The procedure using this technique takes only 15 to 30 minutes to complete. While patients may experience a slight sensation of tightness during the first few days, severe pain is notably absent. Bruising and swelling are kept to such an absolute minimum that you can typically drive home and return to your normal routine immediately.
- Freedom from scarring and keloid concerns: Thanks to meticulous suturing and the creation of a naturally proportioned eyelid crease, the healed skin remains exceptionally smooth. You will avoid the visible folds, harsh incision lines, and keloid scarring commonly associated with traditional long-incision methods used elsewhere.
- Honest consultations that respect your natural anatomy: Our medical team thoroughly evaluates each patient's individual eye structure to recommend the most complementary shape. We prioritize safe, lasting beauty and will gently advise against any requests that would overcorrect the eye and result in an unnatural or "staring" appearance.
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Summary
Epicanthal folds are simply a matter of structural anatomy that can be safely and effectively corrected with the proper medical technique. Choosing traditional long-incision methods, however, can result in stubborn scarring that is notoriously difficult to revise.
If you desire larger, brighter eyes with beautifully defined creases—and want to save time on your daily makeup routine without the worry of lingering scars—double eyelid surgery utilizing the Lock System at Teeraporn Hospital is a truly worthwhile and effective solution.
Content By
Dr. Choladhis
Associate Professor CHOLADHIS SINRACHTANANT, M.D.
License No. 5863



















