4.Exaggerated coverage of the upper part of the pupil (peseudoptosis)
These are cases where the upper pupils are covered by the eyelid skin drooping. It should be separated from true ptosis by accurate evaluation.
5.True covering of the upper partof the pupil (ptosis)
Eyelids should be covered over the pupillary parts of the eyes by 1-2mm, but in case of a ptosis, the eyelid droops down and covers the pupil with a significant amount. It makes a distinct sleepy appearance.
Examples) Cases of ptosis correction.
6.Exposure of the lower white part of the eye (Sclera show)
When the lower sclera of the eye is exposed, it is thought to give a gloomy-looking impression. In this case, it can worsen if a lateral canthoplasty is undertaken so it must be avoided. Sometimes, it appears when one has ptosis.
7.Excessive coverage of the lower part of pupil
Example) Magic epicanthoplasty and lateral canthoplasty
Example) Magic epicanthoplasty and ptosis correction, lateral canthoplasty
8.Diagonal coverage of the pupil.
If the Mongolian fold pulls down the upper eyelid skin to the lower eyelid, it shows a diagonal pattern of the upper eyelid from the epicanthal region, covering the pupil at the same time. Magic epicanthoplasty can correct this unfavorable diagonal line by releasing tension of Mogolian folds.
9.The shape and size of eyes
It is generally known that the distance between two eyes should be the same as the horizontal distance of one eye, i.e. the distance between the medial to the lateral canthus. However, majority of Korean women have a wider interepicanthal distance because of the Mongolian folds. The ideal shapes of oriental eyes in numerical values are 1.2cm in height , 3.5cm from inside(medial canthus) to outside(lateral canthus), and 3.5cm between the two eyes(intercanthal distance). The angle of the medial to lateral canthus should be 10 degrees in upward inclination to be considered an ideal eye.
10.Upward rising of the Mongolian inclination, extending to the tail of the eyes.
Compared with Caucasians, Asians have a laterally slant shape of the eyes, which is called "Mongolian inclination". This is made by the structures called medial and lateral canthal tendons. An angle made by this line to a horizontal line of face is called an inclination angle. This angle is about 5-8 degrees in Caucasians, while Asians’ form an angle of approximately 10 degrees. The eyes will not look as good if the exceeds 15 degrees. In cases of severe Mongolian inclination, it makes a sharp impression and it can cause negative effects.
Example) Magic epicanthoplasty with lateral canthoplasty
Example) Double eyelid surgery by buried suture method combined with the Magic epicanthoplasty and lateral canthoplasty
Example) Revisional double eyelid surgery adding ptosis correction combined with Magic epicanthoplasty and lateral canthoplasty
Example) Magic epicanthoplasty with double eyelid surgery( without lateral canthoplasty)
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