Medical Tourism Blog
Scleral Show Treatment in Korea: Canthoplasty, Eyelid Retraction Repair & Laser Canthoplasty
Table of contents
- Detailed Explanation of Surgical Procedures
- Canthoplasty
- Eyelid Retraction Repair
- Laser Canthoplasty
- Best Clinics in Korea for Scleral Show
- The Process in South Korea
- Benefits of Choosing South Korea
- Patient Experiences
- Conclusion
- References
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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.
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.
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 for Scleral Show
Listed below are the best clinics in Korea for scleral show:
| Clinic Name | Key Features | Special Techniques |
|---|---|---|
| Mate Plastic Surgery Clinic | Mate Plastic Surgery Clinic, located near Sinnonhyeon Station in Korea, provides specialized cosmetic and reconstructive care designed to enhance both appearance and confidence. For patients concerned about scleral show and overall eye-area balance, the clinic’s approach is supported by a broad foundation in facial aesthetics and precision techniques, with procedures meticulously performed by experienced surgeons to prioritize safety and natural-looking outcomes. Beyond eye-focused concerns, Mate Plastic Surgery Clinic offers a wide range of services that can complement full-face harmony, including facial contouring such as V-Line surgery and cheekbone reduction, rhinoplasty (nose augmentation and nose reduction), and double eyelid surgery through both incisional and non-incisional methods. The clinic also provides fat grafting (facial and breast), breast surgery (augmentation and reduction), body contouring (liposuction and tummy tuck), and anti-aging treatments such as facelift and Botox injections. | - Facial contouring such as V-Line surgery and cheekbone reduction - Rhinoplasty (nose augmentation and nose reduction) - Double eyelid surgery through both incisional and non-incisional methods - Fat grafting (facial and breast) - Breast surgery (augmentation and reduction) - Body contouring (liposuction and tummy tuck) - Anti-aging treatments such as facelift and Botox injections |
| Braun Plastic Surgery Clinic | Braun Plastic Surgery Clinic is known in Korea for its “self-developed, personal consultation, personal surgery” approach, combining individualized planning with a strong commitment to safety and consistently satisfactory outcomes. The clinic’s medical staff continuously research and refine techniques to achieve safer, more effective surgical results, and its leadership and surgeons—including Chief Dr. Kim Tae-gyu, CEO Lee Ji-won, and Dr. Ryu Dong-wan—regularly present their work at major international academic conferences, contributing to advances in fields closely related to eye aesthetics and balance such as facial contouring, anti-aging, and rhinoplasty. This mix of personalized care, ongoing innovation, and academically grounded surgical practice is what supports Braun’s reputation when addressing concerns like scleral show, where precise eyelid evaluation and careful technique selection are essential for natural-looking improvement. | - Personal consultation and personal surgery, designed to match the treatment plan to the individual causes and goals behind scleral show concerns - A safety- and effectiveness-first philosophy backed by continuous research aimed at more satisfactory outcomes - Comprehensive eyelid surgery capabilities that support scleral show–related aesthetic goals, including: - Ptosis correction surgery to address drooping lids that can affect eye exposure and overall eye appearance - Canthoplasty to modify eye shape toward a wider, more alert look when appropriate - Anti-aging eyelid surgery to rejuvenate the eye area by addressing sagging skin, wrinkles, and puffiness - Revision double eyelid surgery for patients seeking improvement after prior eyelid procedures - Strong academic credibility: surgeons present at major global conferences and contribute through awards and publications, reflecting ongoing innovation and technique refinement - Broad facial expertise (facial contouring and anti-aging) to support harmonious, balanced results around the eye area rather than focusing on a single feature in isolation |
Mate Plastic Surgery Clinic
Mate Plastic Surgery Clinic, located near Sinnonhyeon Station in Korea, provides specialized cosmetic and reconstructive care designed to enhance both appearance and confidence. For patients concerned about scleral show and overall eye-area balance, the clinic’s approach is supported by a broad foundation in facial aesthetics and precision techniques, with procedures meticulously performed by experienced surgeons to prioritize safety and natural-looking outcomes.
Beyond eye-focused concerns, Mate Plastic Surgery Clinic offers a wide range of services that can complement full-face harmony, including facial contouring such as V-Line surgery and cheekbone reduction, rhinoplasty (nose augmentation and nose reduction), and double eyelid surgery through both incisional and non-incisional methods. The clinic also provides fat grafting (facial and breast), breast surgery (augmentation and reduction), body contouring (liposuction and tummy tuck), and anti-aging treatments such as facelift and Botox injections.
Find more about this clinic here: Mate Plastic Surgery Clinic Website
Braun Plastic Surgery Clinic
Braun Plastic Surgery Clinic is known in Korea for its “self-developed, personal consultation, personal surgery” approach, combining individualized planning with a strong commitment to safety and consistently satisfactory outcomes. The clinic’s medical staff continuously research and refine techniques to achieve safer, more effective surgical results, and its leadership and surgeons—including Chief Dr. Kim Tae-gyu, CEO Lee Ji-won, and Dr. Ryu Dong-wan—regularly present their work at major international academic conferences, contributing to advances in fields closely related to eye aesthetics and balance such as facial contouring, anti-aging, and rhinoplasty. This mix of personalized care, ongoing innovation, and academically grounded surgical practice is what supports Braun’s reputation when addressing concerns like scleral show, where precise eyelid evaluation and careful technique selection are essential for natural-looking improvement.
- Personal consultation and personal surgery, designed to match the treatment plan to the individual causes and goals behind scleral show concerns
- A safety- and effectiveness-first philosophy backed by continuous research aimed at more satisfactory outcomes
- Comprehensive eyelid surgery capabilities that support scleral show–related aesthetic goals, including:
- Ptosis correction surgery to address drooping lids that can affect eye exposure and overall eye appearance
- Canthoplasty to modify eye shape toward a wider, more alert look when appropriate
- Anti-aging eyelid surgery to rejuvenate the eye area by addressing sagging skin, wrinkles, and puffiness
- Revision double eyelid surgery for patients seeking improvement after prior eyelid procedures
- Strong academic credibility: surgeons present at major global conferences and contribute through awards and publications, reflecting ongoing innovation and technique refinement
- Broad facial expertise (facial contouring and anti-aging) to support harmonious, balanced results around the eye area rather than focusing on a single feature in isolation
Find more about this clinic here: Braun 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.
| Procedure | Typical Duration (Surgery time) | Anesthesia Type | Expected Initial Recovery (Swelling/Bruising) | Stitch Removal Time | Focus in Addressing Scleral Show | Key Considerations for South Korea |
|---|---|---|---|---|---|---|
| Canthoplasty | 30 mins - 2 hours | Local with sedation or General | 1-2 weeks | 5-7 days | Indirectly by elevating the outer corner of the lower eyelid | Popular for achieving "almond eye" look; often combined with other procedures. |
| Eyelid Retraction Repair | Varies (30 mins - 2 hours) | Local with sedation or General | 1-2 weeks | 5-7 days | Directly by repositioning the lower eyelid to cover the sclera | Spacer grafts commonly used; addressing underlying causes like thyroid disease. |
| Laser Canthoplasty | 30 mins - 1 hour | Local anesthesia or mild sedation | 1 week | 5-7 days | Indirectly by subtly lifting the outer corner of the eye | Uses 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.
| Procedure | Average 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 | $2,000 | N/A | $6,000 | N/A |
| Eyelid Retraction Repair | $1,000 - $2,290 (Blepharoplasty) | $3,000 - $6,000 (Blepharoplasty) | N/A | N/A | N/A | N/A | N/A |
| Laser Canthoplasty | $1,000 - $3,000 | $5,000 - $10,000 (Related Procedures) | N/A | N/A | N/A | N/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.
| Procedure | Key Positive Themes from Reviews | Key Concerns or Considerations from Reviews | Overall Satisfaction Level |
|---|---|---|---|
| Canthoplasty | Improved eye shape, youthful look, natural results, increased confidence | Swelling duration, possible asymmetry, need for skilled surgeon | Generally high, with many satisfied with aesthetic changes |
| Eyelid Retraction Repair | Reduced scleral show, natural eyelid position, improved comfort, correction of prior issues | Recovery swelling, possible grafts, importance of treating underlying conditions | High, especially when functional issues improve |
| Laser Canthoplasty | Precise, less bleeding and scarring, shorter recovery, desired eye shape | May not suit all scleral show types, subtler results, surgeon skill needed | Positive, 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.
