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Scleral Show Treatment in Korea: Canthoplasty, Eyelid Retraction Repair & Laser Canthoplasty

Scleral Show Treatment in Korea: Canthoplasty, Eyelid Retraction Repair & Laser Canthoplasty
Sunday, Jun 1, 2025

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Scleral show is a condition where the white part of the eye, called the sclera, is more visible below the iris than usual. This happens when the lower eyelid sits lower than normal, exposing more of the eyeball. Various factors can cause this, including natural anatomy, aging, hormonal changes, or medical treatments. Understanding scleral show helps patients explore the best options for managing or correcting it.

Though "scleral show" is the medical term, you might hear other names like "lower eyelid retraction" or "round eye." Lower eyelid retraction means the lower eyelid margin moves downward, causing the sclera to show. "Round eye" describes how the eye looks more circular due to the eyelid’s position. The Japanese term "Sanpaku eyes" refers to visible white areas above or below the iris. In Western medicine, "scleral show" specifically describes the increased visibility of the sclera below the iris. Knowing these terms can help when researching or discussing the condition with doctors.

Scleral show can result from several causes. Some people naturally have this eyelid position due to their anatomy. Aging weakens muscles like the orbicularis oculi, which can cause the lower eyelid to sag. Thyroid disorders, especially hyperthyroidism, may change eyelid and eyeball positions, leading to scleral show. Eye trauma or complications from eyelid surgeries such as blepharoplasty can also cause it—removing too much skin or fat during surgery may pull the eyelid down. Additionally, features like an under-projected maxilla (upper jaw bone) or mild exophthalmos (eye protrusion) can contribute. Identifying the exact cause is key to choosing the right treatment.

scleral show korea

Detailed Explanation of Surgical Procedures

If you want to correct scleral show, several surgical options exist, each working differently. These include Canthoplasty, Eyelid Retraction Repair, and Laser Canthoplasty.

scleral show korea

Canthoplasty

Canthoplasty reshapes or tightens the outer corner of the eye, called the lateral canthus. The surgeon makes a small incision at the eye’s outer corner to access the lateral canthal tendon. They may cut and reposition or tighten this tendon, then anchor it to the lateral orbital rim (the bony edge of the eye socket). This can lift the outer lower eyelid, indirectly improving scleral show.

Different canthoplasty techniques aim to preserve the eye’s natural shape and avoid deformities. Permanent sutures might secure the eyelid to the brow bone or orbital bone’s outer layer, creating a subtle lift. Sometimes, spacer grafts are added to raise the lower eyelid margin further. While canthoplasty doesn’t directly fix eyelid retraction, it supports the lower eyelid and helps prevent sagging that reveals too much sclera.

Eyelid Retraction Repair

Eyelid Retraction Repair directly targets the lower eyelid’s downward displacement, the main cause of scleral show. The goal is to raise the eyelid margin to cover the exposed sclera, improving both appearance and comfort.

Surgeons use various techniques depending on the cause and severity. Spacer grafts made from Alloderm (processed human skin), ear or nasal cartilage, hard palate mucosa, or donor sclera add volume and support to lift the eyelid. Other methods release the lower eyelid retractors (muscles pulling the eyelid down). If thyroid eye disease causes the problem, treating the thyroid is essential, and orbital decompression surgery may be needed to create more space behind the eyeball. A midface lift can also support the lower eyelid by elevating cheek tissues. When scarring restricts movement, skin grafts help release tension. The approach is personalized based on the patient’s condition.

This surgery not only improves the eye’s look but also reduces symptoms like dryness, irritation, and blurred vision caused by excessive eye exposure. It can restore full eyelid closure, which is vital for eye health.

Laser Canthoplasty

Laser Canthoplasty uses laser technology to reshape the eye’s outer corner with precision. The laser makes fine incisions at the lateral canthus, sealing blood vessels as it cuts. This reduces bleeding and inflammation compared to traditional scalpel surgery.

The surgeon adjusts the lateral canthal tendon by tightening or repositioning it to achieve the desired eye shape. The laser’s precision aims to minimize scarring, though healing varies by individual. Some reports note that laser blepharoplasty may cause irregular scars due to thermal effects.

Like traditional canthoplasty, laser canthoplasty can subtly lift and tighten the outer lower eyelid, which may help mild scleral show. However, its main goal is to create a more youthful, open, and elongated eye appearance rather than directly correcting eyelid retraction.

Best Clinics in Korea

Listed below are the best clinics in Korea:

Clinic NameKey FeaturesSpecial Techniques
THEPLUS Plastic SurgeryExpert surgical team led by internationally recognized Dr. Kim and Dr. Jeong; holistic facial harmony approach; advanced surgical methods and technologies; comprehensive care across four floors; educational leadership with international symposium participation; over a decade of clinical experience ensuring safety and satisfaction; customized treatment plans; strong domestic and international reputationScleral show correction with emphasis on natural beauty and facial harmony; advanced techniques supported by ongoing research
Made Young Plastic SurgeryLocated in Gangnam district; expert team specializing in delicate eye surgeries; highest standards of patient safety and personalized care; blends traditional Korean beauty with modern innovation; comprehensive eye surgery options; focus on natural, harmonious results; state-of-the-art facilities; strong patient satisfaction emphasis; holistic rejuvenation approach combining scleral show correction with facial contouring and liftingScleral show correction including upper/lower blepharoplasty, canthoplasty, ptosis correction; minimally invasive and precise procedures
Okay Plastic Surgery ClinicTransformative aesthetic care with sincerity and precision; led by experienced female plastic surgeon; personalized treatment plans; wide range of services including body contouring, breast augmentation, hairline correction, facial lifting, eye plastic surgery, rhinoplasty, scar management, skincare treatments; commitment to patient-centered careScleral show correction with focus on refined, natural-looking results; advanced medical techniques tailored to individual needs

THEPLUS Plastic Surgery

THE PLUS Plastic Surgery, located in the vibrant Garosu-gil district of Gangnam, Seoul, stands as a premier destination for advanced cosmetic procedures in Korea. The clinic is led by a team of highly respected surgeons, including Dr. Kim, Dr. Jeong, and Dr. Lee, each bringing extensive expertise and international recognition in their respective specialties. With a strong emphasis on natural beauty and facial harmony, THE PLUS offers personalized care backed by cutting-edge research and continuous education. Their commitment to safety, innovation, and patient satisfaction makes them an outstanding choice for those seeking scleral show correction and other delicate facial surgeries.

Why THE PLUS Plastic Surgery is the best clinic for scleral-show correction in Korea:

  • Expert Surgical Team: Led by Dr. Kim and Dr. Jeong, both internationally recognized experts in facial contouring and rhinoplasty, ensuring precision and aesthetic balance.
  • Holistic Facial Harmony Approach: The clinic prioritizes a harmonious balance of facial features, crucial for natural-looking scleral show correction.
  • Advanced Techniques: Utilizes the latest surgical methods and technologies, supported by ongoing research and contributions to global plastic surgery literature.
  • Comprehensive Care: Four floors dedicated to consultation, surgery, and post-operative skincare provide seamless patient experience and optimal recovery.
  • Educational Leadership: Surgeons at THE PLUS conduct annual educational sessions and participate in international symposiums, reflecting their role as leaders in the field.
  • Safety and Satisfaction: Over a decade of clinical experience combined with active involvement in medical societies ensures high standards of patient safety and satisfaction.
  • Customized Treatment Plans: Tailored procedures that consider individual anatomy and aesthetic goals, essential for effective scleral show correction.
  • Reputation for Excellence: Recognized both domestically and internationally, THE PLUS is trusted by patients and peers alike for complex facial surgeries.

For patients seeking scleral show correction in Korea, THE PLUS Plastic Surgery offers unparalleled expertise, innovative techniques, and a patient-centered approach that ensures both functional improvement and enhanced natural beauty.

You can check out their website here: THEPLUS Plastic Surgery Website

Made Young Plastic Surgery

Made Young Plastic Surgery Clinic, located in the prestigious Gangnam district of Seoul, stands as a premier destination for those seeking expert care in scleral show correction and other advanced aesthetic procedures. Renowned for its unwavering commitment to patient safety and innovative surgical techniques, Made Young combines traditional Korean beauty ideals with state-of-the-art technology to deliver exceptional results. The clinic’s team of highly skilled plastic surgeons and medical professionals ensures personalized treatment plans that prioritize both natural-looking outcomes and patient well-being. With a comprehensive range of facial and eye surgeries, including specialized procedures addressing scleral show, Made Young Plastic Surgery Clinic is recognized as the best choice for patients in Korea aiming to achieve a balanced, youthful, and harmonious eye appearance.

Why Made Young Plastic Surgery Clinic is the Best for Scleral Show Correction in Korea:

  • Located in Seoul’s prestigious Gangnam district, offering easy access to world-class medical care.
  • Expert team of experienced plastic surgeons and anesthesiologists specializing in delicate eye surgeries.
  • Commitment to the highest standards of patient safety and personalized care.
  • Utilizes advanced surgical techniques that blend traditional beauty concepts with modern innovation.
  • Comprehensive eye surgery options including upper and lower blepharoplasty, canthoplasty, and ptosis correction tailored to address scleral show.
  • Focus on natural, harmonious results that enhance overall facial aesthetics.
  • State-of-the-art facilities equipped with the latest technology for minimally invasive and precise procedures.
  • Strong emphasis on patient satisfaction, ensuring each individual’s unique needs and goals are met.
  • Offers a holistic approach to rejuvenation, combining scleral show correction with complementary facial contouring and lifting procedures for optimal outcomes.

You can check out their website here: Made Young Plastic Surgery Website

Okay Plastic Surgery Clinic

Okay Plastic Surgery Clinic in Korea is renowned for its transformative approach to aesthetic care, emphasizing sincerity, precision, and personalized treatment plans. The clinic is led by a team of specialized professionals, including a highly experienced female plastic surgeon, who guide patients through a comprehensive journey of personal transformation using advanced medical techniques. This dedication ensures that each patient receives tailored solutions that align with their unique needs and aesthetic goals.

Specializing in a wide range of aesthetic services, Okay Plastic Surgery Clinic offers expert care in areas such as body contouring, breast augmentation, hairline correction, facial lifting, eye plastic surgery, rhinoplasty, scar management, and skincare treatments. Their expertise in scleral show correction, a delicate eye procedure, reflects their commitment to precision and patient-centered care, making the clinic a trusted destination for those seeking refined and natural-looking results in Korea.

You can check out their website here: Okay Plastic Surgery Clinic Website

The Process in South Korea

South Korea is a popular destination for scleral show surgery, known for its skilled cosmetic surgeons. Here’s what to expect:

  • Initial Consultation: A thorough eye exam and discussion of goals, often available online for international patients.
  • Preoperative Preparation: Medical tests and instructions on medications to avoid (like aspirin and ibuprofen) and fasting.
  • Anesthesia: Local anesthesia with sedation or general anesthesia, depending on the procedure and patient preference.
  • Surgery: Takes 30 minutes to 2 hours, depending on the technique and case complexity.
  • Postoperative Care: Instructions on cleaning, medication use, avoiding strenuous activity, and using cold compresses to reduce swelling.
  • Recovery: Swelling and bruising last 1-2 weeks; sutures removed after 5-7 days; full healing may take months.
  • Follow-up: Clinics provide personalized recovery plans and monitor healing.

Choosing a reputable clinic with experienced oculoplastic surgeons is vital. Many South Korean clinics offer English-speaking staff and translation services to assist international patients. Planning an 8-day stay or longer is recommended to allow for surgery and initial recovery.

ProcedureTypical Duration (Surgery time)Anesthesia TypeExpected Initial Recovery (Swelling/Bruising)Stitch Removal TimeFocus in Addressing Scleral ShowKey Considerations for South Korea
Canthoplasty30 mins - 2 hoursLocal with sedation or General1-2 weeks5-7 daysIndirectly by elevating the outer corner of the lower eyelidPopular for achieving "almond eye" look; often combined with other procedures.
Eyelid Retraction RepairVaries (30 mins - 2 hours)Local with sedation or General1-2 weeks5-7 daysDirectly by repositioning the lower eyelid to cover the scleraSpacer grafts commonly used; addressing underlying causes like thyroid disease.
Laser Canthoplasty30 mins - 1 hourLocal anesthesia or mild sedation1 week5-7 daysIndirectly by subtly lifting the outer corner of the eyeUses laser for precise incisions, potentially reducing bleeding and scarring.

Benefits of Choosing South Korea

South Korea is renowned for advanced cosmetic eye surgeries. Surgeons there specialize in procedures like canthoplasty and eyelid retraction repair, often refining techniques to minimize side effects and scarring.

Clinics invest in cutting-edge technology, including laser canthoplasty, which offers precision and potentially faster recovery. This access to innovation can improve outcomes and comfort.

Costs in South Korea are generally lower than in the US, Europe, and other countries. Prices often include surgeon fees, anesthesia, and facility charges, providing transparency for international patients.

Many clinics offer comprehensive packages for overseas patients, including travel help, accommodation, and language support. Personalized recovery plans and treatments to aid healing are common, making the experience smoother.

ProcedureAverage Cost in South Korea (USD)Average Cost in the United States (USD)Average Cost in the United Kingdom (USD)Average Cost in Turkey (USD)Average Cost in Thailand (USD)Average Cost in Spain (USD)Average Cost in Australia (USD)
Canthoplasty$2,143 - $3,613$4,000 - $5,117$7,200$2,000N/A$6,000N/A
Eyelid Retraction Repair$1,000 - $2,290 (Blepharoplasty)$3,000 - $6,000 (Blepharoplasty)N/AN/AN/AN/AN/A
Laser Canthoplasty$1,000 - $3,000$5,000 - $10,000 (Related Procedures)N/AN/AN/AN/A$20 - $440 (Capsular Laser)

Note: Costs are approximate and vary by clinic, surgeon experience, and case complexity. Eyelid Retraction Repair costs are approximated using blepharoplasty data due to limited specific pricing.

Patient Experiences

Many patients who had canthoplasty or eyelid retraction repair in South Korea report positive results. Reviews often highlight improved eye shape—more almond-shaped or youthful—and praise surgeons’ skills and clinic care quality. Studies also show good cosmetic outcomes, including successful revision surgeries for patients unhappy with previous eyelid procedures done elsewhere.

Besides aesthetics, patients note functional benefits. Correcting scleral show can make eyes look less tired and reduce discomfort like dryness, irritation, and tearing. Eyelid retraction repair can restore full eyelid closure, improving eye health. These outcomes suggest surgery in South Korea can enhance both appearance and quality of life.

ProcedureKey Positive Themes from ReviewsKey Concerns or Considerations from ReviewsOverall Satisfaction Level
CanthoplastyImproved eye shape, youthful look, natural results, increased confidenceSwelling duration, possible asymmetry, need for skilled surgeonGenerally high, with many satisfied with aesthetic changes
Eyelid Retraction RepairReduced scleral show, natural eyelid position, improved comfort, correction of prior issuesRecovery swelling, possible grafts, importance of treating underlying conditionsHigh, especially when functional issues improve
Laser CanthoplastyPrecise, less bleeding and scarring, shorter recovery, desired eye shapeMay not suit all scleral show types, subtler results, surgeon skill neededPositive, appreciated for minimally invasive approach

Conclusion

Scleral show, caused by various factors like anatomy, aging, or prior surgery, can be effectively addressed through surgical options such as canthoplasty, eyelid retraction repair, and laser canthoplasty. South Korea stands out as a leading destination for these procedures due to its expert surgeons, advanced technology, cost advantages, and comprehensive care for international patients. Patient feedback highlights both aesthetic and functional improvements following surgery. However, it’s essential to have realistic expectations and consult experienced specialists to choose the best treatment plan tailored to individual needs.

References

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