What does the incisional double eyelid surgery with epicanthoplasty involve?

This procedure creates a permanent upper eyelid crease through a small incision along the intended fold line, removing excess skin or fat as needed. The epicanthoplasty modifies the inner corner of the eye (epicanthal fold) to elongate the eye shape and reduce the appearance of a flat nasal bridge. Both steps are performed under local anesthesia with sedation, typically taking 1–2 hours, and the incisions are closed with fine sutures for minimal scarring.