Out folder is a form of double eyelid that the lines start exposed from outer corner of the eyes and the width of the lines remains constant to the inner corner.This type of double eye lid line is shown among Caucasians, who have high forehead and depressed orbital structure compared to her nose, and have no Mongolian fold.

For Asians to make proper out folder double eyelid, epicanthoplasty is necessary.

Asians have different orbital structure therefore; out folder line may seem awkward even with epicanthoplasty if she doesn’t have skeletal structure close to Caucasians.

When performed double eyelid surgery to make large out fold without epicanthoplasty to improve Mongolian fold, is most likely to show severe swelling prolonged and eventually become awkward and strained eyes.
Above is a case, is patient who went under Magic epicanthoplasty and incision double eyelid surgery to form structurally stable out line double eyelid.

There may be limits to your eyes to make out folder double eyelid if you are Asian so contemplate consultation and understanding is needed before the surgery. Typically, if you have good eye opening power with protruding eyeball with weak Monoglian fold, it is easier to make out eye double eyelid.

-dr.kwon-