Surgery · Combined Eye Plan

Epicanthoplasty with Double Eyelid Surgery

Width and crease, decided at one examination

Apgujeong, Seoul | Board-certified plastic surgeon, Dr. Jonghwan Choi
Two operations, one sitting, two separate lines · KHIDI-registered for international patients

Corner and Crease Corner and Crease Corner and Crease Corner and Crease 
Together

Epicanthoplasty with double eyelid surgery

Should epicanthoplasty be done at the same time as double eyelid surgery?

The short answer

It can be. Rewind plans the two in one sitting when the examination supports both, and the decision is made for each eye on what that examination finds. A shared session means one set of measurements weighs the corner and the crease against each other, the crease line is chosen with the planned corner in view, and a single recovery period covers both. A staged route suits an eye where only the crease is clearly needed, or where the corner question can wait until the crease has settled; Rewind also operates on inner corners for patients whose earlier crease left the eye looking short. Whichever route is chosen, each operation keeps its own line on the quotation.

Descriptions on this page come from Rewind's Korean pages for eye-opening procedures and for the non-incisional crease, and from the clinic's post-operative instructions for eyelid surgery. Anaesthesia, operating time and the day stitches are removed are not published for either operation, so none of them is stated here.

The two operations answer different complaints. A crease changes the upper lid: whether a fold forms, how high it sits and how much of the iris the lid leaves visible. The inner corner changes the horizontal length of the eye opening, by releasing the fold of skin that runs across it. An eye can need one, the other or both, and the useful work of a combined consultation is working out which.

Dr. Jonghwan Choi operating under loupe magnification in Rewind's operating room
Fig. 01 — Crease and corner, operated by the same surgeon in one sitting
Paired

Before & After

Epicanthoplasty and a double eyelid crease in one visit: three Rewind cases

The first two patients had a non-incisional crease with the inner corner released in the same session, and the second also had fat under the eyes repositioned. The third had the corner alone and is placed here as a reference: in her pair the lid is unchanged, so what you see is the corner by itself. Comparing the third case with the first is the quickest way to separate what the crease contributed from what the corner did. Make-up also differs between visits in the first case, where the after image shows eyeliner, so read the corner and the fold line and ignore the lashes.

Rewind patients — every operation of the visit named

Before a non-incisional double eyelid crease combined with medial epicanthoplasty in one session After a non-incisional double eyelid crease combined with medial epicanthoplasty in one session BEFOREAFTER
corner and crease
Non-incisional crease with medial epicanthoplasty, designed at one examination
Individual results may vary.
Before a non-incisional crease with medial epicanthoplasty and under-eye fat repositioning in the same visit After a non-incisional crease with medial epicanthoplasty and under-eye fat repositioning in the same visit BEFOREAFTER
corner, crease and lower lid
A non-incisional crease, medial epicanthoplasty and under-eye fat repositioning in one visit
Individual results may vary.
Before medial epicanthoplasty performed without any crease surgery After medial epicanthoplasty performed without any crease surgery BEFOREAFTER
corner alone
The inner corner released with no crease surgery, shown for comparison
Individual results may vary.

These are Rewind patients, photographed at the clinic. No case forecasts yours. After a combined session the risks of both operations apply: bleeding, infection, swelling, asymmetry, a crease that heals higher, lower or thicker than planned or loosens, a visible line at the inner corner and a corner opened further than intended.

Axes

Two directions

What the inner corner and the double eyelid crease each change

Most confusion about combining these operations comes from treating them as one "eye-opening" procedure. They work in different directions, on different tissue, and sometimes a third structure is responsible for what the patient dislikes.

upper lid
The crease
Decides whether a fold forms and how high it sits. Rewind's buried method ties it at seven micro-anchor points with double fixation; the incisional methods open the lid so surplus tissue can be removed first.
horizontal
The inner corner
Releasing the epicanthal fold uncovers the corner and lengthens the eye opening from side to side. It has no effect on crease height, and a crease has no effect on a fold that hides the corner.
vertical
The opening muscle
An eye that opens narrowly because the lid margin sits low needs muscle correction. Neither a crease nor a corner release lifts the margin, so this is examined separately and listed separately.
below
The lower lid
Under-eye fat repositioning changes the area beneath the eye. It joined the corner and the crease in one of the cases above, as a third named operation with its own recovery instructions.

The crease methods, and how one is chosen for a given lid, are explained on the double eyelid surgery page. Where the examination finds the lid margin itself sitting low, the relevant operation is ptosis correction, which is planned on its own merits even when a corner and a crease are also on the table.

Plan

One examination, two designs

How a combined epicanthoplasty and double eyelid plan is drawn

A combined plan is two designs made at one sitting, each allowed to veto the other. The order below is the order of the consultation, not the order of the operation, which the clinic does not publish.

01Complaint

Is the eye short, heavy, or both?

A lid that makes the eye look sleepy, covers part of the field of vision, leaves less than about 80% of the iris visible, or recruits the brow every time the eye opens points at the crease. A fold hiding the inner corner, with the brows set wide apart, points at the corner.

02Crease

The crease method is chosen for the lid, not for the corner

Lid thickness and the fat above the eye decide between the buried method and a partial or full incision. The corner is released the same way whichever crease it joins, so adding it does not push a patient toward a more invasive crease.

03Line

Opening the inner corner changes how the crease line is chosen

Rewind offers four crease line designs: in-line, semi-outline, in-out-line and outline. They differ in how the fold relates to the inner end of the eye, which is exactly where the corner release works, so the line is picked with the planned corner in view. The clinic publishes no fixed rule pairing a released corner with one particular design.

04Corner

The corner release is drawn against the medial canthus

The extent of the release is marked for each eye, the fold is incised inward along the design and the line is closed inward. How far inward it travels is the central judgement, and it is made with the finished crease in mind.

05Veto

Either operation can drop out at this stage

Corners that already sit close together, or pink tissue already prominent at the inner corner, remove the corner from the plan while the crease goes ahead. A lid that needs no crease leaves a corner-only plan. Nothing is kept for the sake of a matching pair.

06Timing

Same session, or the corner later

When both are clearly indicated, they can share one sitting. When the corner is borderline, it can wait until the crease has settled and the eye can be read again; the clinic operates on corners for patients whose crease is already in place.

Consultation at Rewind where the eyelid and inner corner are examined together
Fig. 02 — Crease and corner read in the same consultation
Rewind

Why one examination

Why Rewind plans the corner and the double eyelid crease together

Planning the two separately invites a crease designed for an eye that will later change shape, or a corner opened to fix something that was really a lid problem. One examination, one surgeon and one written plan avoid both mistakes.

01One reading

Both designs start from the same measurements

Corner distance, fold coverage, lid thickness and iris exposure are taken once and used for both operations. The crease line and the corner release are then drawn to fit a single eye, instead of two separate ideas of it.

02One recovery

A shared session means one period of care

The corner instruction and the crease instructions run side by side from the same day, so a traveller plans around one set of follow-up visits. The longer settling period of the corner still applies, and it is explained before the date is set.

03One author

The same surgeon draws, operates and reviews both

Dr. Jonghwan Choi, a board-certified plastic surgeon, carries the whole plan; no part of it is handed to a second operator. International patients are cared for in their own language at a KHIDI-registered clinic.

Consultation room at Rewind Plastic Surgery where combined eye plans are discussed
Fig. 03 — The room where both designs are agreed
Session

The combined session

Epicanthoplasty and double eyelid surgery in one operating session

Operating room at Rewind Plastic Surgery, Richro Building, Apgujeong

Fig. 04 — The clinic's own operating room

Recovery bed in a private room at Rewind Plastic Surgery

Fig. 05 — A private room for resting after surgery

Both operations take place in the clinic's own operating room on the fourth and fifth floors of the Richro Building in Apgujeong, Gangnam. The session is planned as a whole, but the two operations are still recorded and priced as two. Consultations for eye surgery are held on Monday, Tuesday, Wednesday and Friday until 19:00, and on Saturday until 16:00, by appointment only.

One examination for corner and crease
Crease method chosen for the lid
Line design picked with the corner in view
Corner drawn against the medial canthus
Two operations, one session
Each operation on its own fee line
Both performed by Dr. Jonghwan Choi
Combined follow-up with the same surgeon
Dr. Jonghwan Choi, board-certified plastic surgeon

Board-certified plastic surgeon

Dr. Jonghwan Choi is certified in plastic surgery in Korea and operates both the crease and the corner in a combined session himself. Patients coming from abroad are received under Rewind's KHIDI registration, M-2025-01-08-09288.

Lines

Published rates

Listed rates for a combined epicanthoplasty and double eyelid plan

A combined plan is priced by adding the lines it contains. The corner is one line; the crease is another at whichever method the lid needs; under-eye work, when it joins, is a third. There is no combined package figure, so a plan can be read and trimmed line by line.

Medial epicanthoplastyThe inner-corner line, the same whichever crease it joins
₩1,200,000
Crease, non-incisional (buried)For a lid of moderate thickness without much fat above the eye
₩1,200,000
Crease, partial incisionA short opening so surplus fat and muscle tissue can be removed
₩1,800,000
Crease, full incisionThe designed line opened along its length and closed in layers
₩2,900,000
Under-eye fat repositioningA third operation when the lower lid is part of the plan
₩1,600,000

Standard listed figures with VAT excluded; the anaesthetic fee is included in each. The rate list gives a figure per operation and no discount for combining them, and every line of a combined plan is written out before a surgical date is offered.

Fit

Suitability

Who suits epicanthoplasty with double eyelid surgery in one session

Eyes where both operations are indicated

  • A fold covering much of the inner corner together with a lid that has no crease or folds unevenly
  • An eye that reads both short from side to side and heavy from above
  • Brows set wide apart, with the corner hidden and the lid resting on the lashes
  • A plan to travel once and recover once, with time available for the corner to settle over the following months
  • Clear expectations about which change comes from which operation

Eyes where one operation is dropped or delayed

  • Corners already close together: the crease can go ahead, but the clinic advises against releasing the fold
  • Prominent, sharply exposed pink tissue at the inner corner, which the release would emphasise
  • A low-set lid margin as the real cause, where muscle correction is examined before a corner is considered
  • A borderline corner, which can be reassessed once the crease has healed
  • A tendency toward thick or red scars, since both an incisional crease and the corner leave lines
  • Pregnancy, breastfeeding, infection around the eye, or medication and conditions affecting bleeding and healing
After

Two sets of instructions

Recovery when epicanthoplasty and a double eyelid crease heal together

After a combined session, the corner instruction and the crease instructions apply at the same time, and the stricter one wins wherever they overlap. The timeline below follows a non-incisional crease, the method used in both combined cases on this page; an incisional crease carries its own sheet.

Around 48 hours
Crease swelling and bruising
Rewind records swelling and bruising for roughly the first 48 hours after a buried crease, with individual variation. The corner adds its own rule from day one: leave it alone, and do not rub it.
The first week
No heat, no hard rubbing
The buried-crease sheet asks for saunas, steam rooms and strenuous exercise to wait a week, and for a gentle cleanser used without scrubbing. A crease that loosens or changes shape is a reason to come in.
After the stitches
Washing, then eye make-up
For the buried crease, washing the face resumes the day after stitch removal and eye make-up waits a further one to two weeks. The removal day itself is set at follow-up and is not published in advance.
Six to twelve months
The corner sets the final date
The crease instructions run out long before the corner's settling period does. Rewind gives at least six months, and up to a year, for the inner corner to reach a natural and stable shape.

Combining operations combines their risks: bleeding and haematoma, infection, prolonged swelling, asymmetry between the eyes, a crease that loosens after a knock or hard rubbing, a fold that heals higher or thicker than planned, a visible or thickened line at the inner corner, and a corner opened further than intended. Tell the surgeon about every earlier eye operation and medication before a date is agreed.

Doctor

Professional

At Rewind, one board-certified plastic surgeon carries every case — from the first consultation to the final follow-up. Because a face is a story, and a story deserves a single author.

Dr. Jonghwan Choi, board-certified plastic surgeonRewind,
Dr. Jonghwan Choi presenting at an academic session
Fig. 06 — Academic presentation, thread-lifting session

Rewind's Doctor

Dr. Jonghwan Choi Medical Director

One surgeon, from the first
consultation to the last follow-up.

A board-certified plastic surgeon devoted to anti-aging lifting — with the precision and restraint built through years of craniofacial practice.

Board-certified plastic surgeon (Plastic Surgery)
10 peer-reviewed publications
Medical Director, Rewind Plastic Surgery
Korean Society of Plastic & Reconstructive Surgeons
Former chief director, Apgujeong Y&T Plastic Surgery
Korean Society for Aesthetic Plastic Surgery
J Craniofac Surg · JKMS · Arch Craniofac Surg
Korean Cleft Palate-Craniofacial Association
Ask

Questions

Epicanthoplasty with double eyelid surgery: planning questions

Should epicanthoplasty be done at the same time as double eyelid surgery?
When the examination finds both a fold hiding the inner corner and a lid that needs a crease, Rewind can plan them in one sitting: one set of measurements, one recovery period and one follow-up schedule. When the corner is borderline, it can wait until the crease has settled and the eye can be read again.
Does opening the inner corner change how the double eyelid crease is designed?
It shapes the choice. Rewind offers four crease line designs (in-line, semi-outline, in-out-line and outline), and they differ at the inner end of the eye, where the corner release works. The line is therefore chosen with the planned corner in view. The clinic publishes no fixed rule tying a corner to a single design.
Can the inner corner be added after a crease has already healed?
Yes. Rewind lists patients whose earlier crease left the eye looking unsatisfying among the people this operation is designed for. The corner is examined on its own at that point, with the existing crease taken into account when the release is drawn.
Which operation lengthens the eye and which one opens it?
Releasing the inner corner lengthens the eye opening from side to side. A crease changes the upper lid and how the fold sits. Opening the eye vertically, where the lid margin sits low over the iris, is the job of muscle correction, which neither of the other two replaces.
Is recovery longer when both are done together?
Day to day, the two recover in parallel: about 48 hours of swelling and bruising after a buried crease, with the corner left untouched in the same period. The longer clock belongs to the corner, which the clinic gives six months to a year to settle, whether or not a crease was added.
Can the corner be combined with an incisional crease as well as a buried one?
Yes. The crease method is chosen for the lid, based on its thickness and the fat above the eye, and the corner is released the same way whichever method it joins. Both combined cases on this page used the non-incisional method, but that reflects those two lids.
Is combining the two cheaper than booking them separately?
Rewind's rate list prices each operation on its own line and publishes no discount for combining them. A combined plan is the sum of its lines. What a shared session does save is a second consultation, a second recovery period and, for many travellers, a second trip.
What happens if only one of the two is recommended?
The other is left out and the plan goes ahead. Close-set corners or prominent tissue at the inner corner remove the corner; a lid that needs nothing removes the crease. Neither operation is added to make the plan look complete.
Voices

Google Reviews

What our patients say.

G 5.0 ★★★★★ 51 Google reviews · Rewind Plastic Surgery, Apgujeong — live-synced from Google Business Profile
★★★★★

Came to REWIND to get my facial treatment and i'm absolutely obsessed about it💞 the doctor is so kind and is an expert! Everyone must visit!

YunHee Hong2 weeks ago
★★★★★

There are just way too many cosmetic clinics in Korea and I'm so happy I found Rewind Clinic in Gangnam. Dr. Choi was so kind and patient while explaining the different face-lifting options, from threads to mini-lifts to deep-plane lifts…

J. S.5 months ago
★★★★★

I found Rewind clinic through a Korean chat forum and many local clients highly recommended it. The clinic is brand new, featuring large, clean rooms and many private waiting areas so it doesn't give off that "factory" clinic vibe. All the…

J. Siou5 months ago
★★★★★

Really nice environment. Doctor is easy to communicate and understands my visions. Waited two weeks to make a review and I confirm the results exceeded my expectations and I am super happy with it. Can't wait to come back!! :))

Kristie Chu5 months ago
★★★★★

I received a thread lift at Rewind Plastic Surgery. The clinic was clean and the atmosphere was comfortable. The consultation was thorough, and I felt confident because they kindly explained everything tailored to my facial condition. They…

한주연2 weeks ago · Translated by Google
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Location
Apgujeong, Gangnam
4F & 5F, Richro Building,
812 Nonhyeon-ro,
Gangnam-gu, Seoul
Hours
Mon·Tue·Wed·Fri 10:00–19:00
Sat 10:00–16:00
Closed Sundays & Thursdays
Lunch 12:00–13:00
Consultation
In your language
WhatsApp · Instagram
Interpreter-assisted
consultations available
Registration
KHIDI Registered
Registered institution for
international patients
Reg. M-2025-01-08-09288

Scientific evidence

Published work on combining inner-corner and crease surgery

The first paper describes a medial epicanthoplasty design intended to avoid a vertical scar. The other three concern the crease side of a combined plan: a buried non-incisional technique, a five-year review of crease surgery combined with another eyelid correction in one sitting, and a systematic review of small-incision crease techniques. They report other surgeons' results and predict nothing about an individual eye.