Mongolian Folds Correction

What are Mongolian folds (epicanthal folds)?

Mongolian folds, also known as epicanthal folds, are natural skin folds of the upper eyelids that cover the inner corner of the eye. These folds are common among people of East Asian descent and some other ethnic groups. They are a normal anatomical feature and do not require treatment unless an individual chooses to address them for personal or functional reasons.

What is Mongolian fold correction?

Mongolian fold correction, also known as medial epicanthoplasty, is a surgical procedure aimed at reducing the prominence of epicanthal folds. Some people consider this procedure to change the shape or appearance of the eyes.

It is important to note that this procedure is cosmetic in nature and not medically necessary. The decision to undergo surgery should be made carefully, based on a clear understanding of the potential benefits, limitations, and risks.

How is the procedure performed?

Medial epicanthoplasty involves:

Creating fine incisions near the epicanthal fold to adjust the skin in this area.
In some cases, excess skin may be removed to achieve the desired result.
The incisions are then sutured carefully to minimise visible scarring where possible.

This surgery is performed very close to the tear ducts and requires precision to avoid damage to surrounding structures.

Can it be combined with other procedures?

Mongolian fold correction may sometimes be performed together with double eyelid surgery (creation of a visible crease in the upper eyelid). Combining the two procedures may help achieve balanced results, depending on the individual’s goals and anatomy.

For individuals with less pronounced folds, double eyelid surgery alone may sometimes create a satisfactory outcome without the need for medial epicanthoplasty.

Recovery and aftercare

Some swelling, bruising, and discomfort are common after surgery and usually improve over time.
Recovery time varies depending on the surgical approach and the individual’s healing process.
Dr Xu will provide specific aftercare instructions to promote healing and minimise complications.
It may take several weeks to months for the final results to become visible.

Risks and possible complications

As with any surgical procedure, Mongolian fold correction carries certain risks. These may include:

Infection or bleeding
Scarring, which can vary between individuals
Asymmetry, where the eyes may heal differently
Damage to nearby structures, including the tear ducts
Overcorrection, which may result in an unnatural appearance
Need for revision surgery in some cases

Dr Xu will discuss these risks during a face-to-face consultation to ensure you have all the information needed to make an informed decision.

Important considerations

This is a cosmetic elective procedure and is not necessary for health or vision.
The Medical Board of Australia requires a 7-day cooling-off period for adults and a mandatory psychological assessment for patients under 18, to ensure the decision is well-considered.
Individual results vary, and no outcome can be guaranteed.