Table of contents

• Canthoplasty: A Surgical Approach to Lower Eyelid Rejuvenation
• Laser Canthoplasty: An Advanced Technique
• Best Clinics in Korea
• Pursuing Canthoplasty and Laser Canthoplasty in South Korea
• Patient Experiences and Outcomes: Addressing Lower Eyelid Wrinkles
• Conclusion
• References

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Several terms describe wrinkles and fine lines in the lower eyelid area. Dennie-Morgan (DM) lines—also called DM folds, Dennie folds, Morgan folds, or infraorbital folds—are noticeable skin creases beneath the lower eyelid. These lines often appear in children with eczema or allergies but can also become more visible with age in adults. The exact cause of DM lines isn’t fully understood, but factors like skin edema and spasms in the Muller eyelid muscle due to reduced blood flow may play a role. Another general term is under-eye wrinkles or lines, which covers any wrinkles beneath the lower eyelid. These are often classified as dynamic wrinkles, caused by repeated muscle movements, or static wrinkles, which remain even when the face is at rest due to loss of skin elasticity and collagen. Crow's feet, also known as laugh lines, mainly appear at the outer corners of the eyes but can extend toward the lower eyelid, especially when smiling or squinting. Although called laugh lines, these wrinkles are influenced not only by facial expressions but also by sun exposure and natural aging. Allergy lines are another type of crease under the eyes caused by skin thickening from repeated irritation and swelling linked to allergies. These differ from age-related wrinkles and usually require treating the underlying allergy for effective management.

The development of these visible aging signs is complex. Natural aging reduces collagen and elastin production—two proteins essential for skin firmness and elasticity. This reduction makes skin thinner, less resilient, and more prone to sagging and wrinkles. Ultraviolet (UV) radiation from sunlight and tanning beds is a major external factor speeding up skin aging. UV rays damage collagen and elastin fibers, causing photoaging and premature wrinkles. Repeated facial expressions like smiling, squinting, and frowning cause muscle contractions that form fine lines over time. As skin loses elasticity, these lines can become permanent. Lifestyle habits such as smoking and pollution exposure also accelerate aging by increasing oxidative stress and reducing skin blood flow. Genetics influence when and how wrinkles appear. Additionally, dehydration and dry skin make fine lines more noticeable, while poor sleep habits can break down collagen. Even sleeping positions, like pressing the face against a pillow, can contribute to wrinkles around the eyes. Lastly, a diet lacking vitamins and antioxidants can harm skin health and speed up aging.

Canthoplasty: A Surgical Approach to Lower Eyelid Rejuvenation

For those wanting a more lasting and noticeable improvement in their lower eyelids, surgical options like canthoplasty offer a solution. Canthoplasty is a surgery that reconstructs or reshapes the canthus—the outer corner where the upper and lower eyelids meet. This procedure tightens the muscles, ligaments, and connective tissues supporting the eyelid.

There are different types of canthoplasty. Lateral canthoplasty targets the outer canthus, epi-canthoplasty focuses on the inner corner, and medial canthoplasty also addresses the inner corner. By tightening the lower eyelid’s support structures, canthoplasty reduces sagging and improves the eye’s contour. This structural change can indirectly lessen fine lines worsened by eyelid laxity. The surgery effectively corrects drooping lower eyelids and creates a more attractive upward tilt at the outer eye corners. However, canthoplasty mainly improves eyelid structure and position rather than directly removing or smoothing skin wrinkles. Patients should have realistic expectations about how much it will reduce fine lines.

It’s important to distinguish canthoplasty from canthopexy, a related procedure. Canthoplasty involves cutting and repositioning the canthal tendon for more significant reshaping, while canthopexy is less invasive, tightening and reinforcing the existing tendon without cutting. Canthopexy suits those with mild to moderate eyelid laxity seeking subtle enhancement. Canthoplasty is mainly indicated for tightening sagging lower eyelids, correcting laxity from aging, trauma, or prior surgery, and improving eye appearance. These changes can indirectly improve wrinkles caused by these issues. Canthoplasty can also specifically target visible skin wrinkles and fine lines linked to lower eyelid malposition.

Laser Canthoplasty: An Advanced Technique

Laser canthoplasty is a modern variation that uses laser technology to make precise incisions at the lateral canthus. This method offers several benefits over traditional surgery.

Laser precision allows surgeons to adjust the eye corner’s angle and position very accurately, resulting in controlled reshaping. The laser’s thermal energy cauterizes tissues as it cuts, greatly reducing bleeding. It also minimizes damage to surrounding healthy tissue. Less bleeding and tissue trauma can lead to faster healing and recovery. Additionally, precise incisions and reduced trauma may cause less noticeable scarring compared to conventional methods.

While laser canthoplasty primarily reshapes the eye and addresses eyelid laxity, the tightening effect on nearby skin and possible skin ablation from certain lasers might help reduce fine lines around the outer eye corner. However, dedicated laser resurfacing treatments are generally more effective for significant wrinkle reduction. So, while laser canthoplasty may combine eye reshaping with subtle skin rejuvenation better than traditional canthoplasty, patients should carefully consider if it meets their wrinkle-reduction goals.

Best Clinics in Korea

Listed below are the best clinics in Korea:

Clinic Name	Key Features	Special Techniques
THEPLUS Plastic Surgery	Located in Garosu-gil, Gangnam, Seoul; team includes Dr. Kim, Dr. Jeong, Dr. Lee; emphasis on facial harmony and natural beauty; four-floor facility; over a decade of clinical experience; active in international research and education; high patient satisfaction	Lower blepharoplasty, ptosis correction, canthoplasty; Botox, fillers, skin lifting therapies; thread lifts; face fat grafting; customized treatment plans combining functional and aesthetic considerations
Made Young Plastic Surgery	Located in Gangnam, Seoul; commitment to patient safety and exceptional care; combines traditional beauty ideals with cutting-edge techniques; personalized treatment approach	Lower blepharoplasty; non-invasive lifting treatments targeting under-eye wrinkles and fine lines
Okay Plastic Surgery Clinic	Focus on sincerity, precision, personalized treatment; led by experienced female plastic surgeon; comprehensive aesthetic care including body contouring, breast augmentation, hairline correction, facial lifting, eye plastic surgery, rhinoplasty, scar management, skincare treatments	Eye plastic surgery targeting visible skin wrinkles and fine lines in the lower eyelid area; advanced medical techniques for natural, refined, lasting results

THEPLUS Plastic Surgery

THE PLUS Plastic Surgery, located in the vibrant Garosu-gil area of Gangnam, Seoul, stands as a premier destination for advanced cosmetic and reconstructive procedures in Korea. Renowned for its team of highly skilled surgeons, including Dr. Kim, Dr. Jeong, and Dr. Lee, the clinic combines cutting-edge medical research with personalized patient care to deliver exceptional results. With a strong emphasis on facial harmony and natural beauty, THE PLUS excels in treating visible skin wrinkles and fine lines in the lower eyelid area, utilizing a comprehensive approach that integrates surgical precision and innovative dermatological treatments. Their commitment to safety, continuous education, and global collaboration makes THE PLUS Plastic Surgery the best choice for patients seeking effective and lasting solutions for lower eyelid rejuvenation.

Why THE PLUS Plastic Surgery is the best clinic for visible skin wrinkles and fine lines in the lower eyelid area in Korea:

• Led by world-renowned surgeons such as Dr. Kim and Dr. Jeong, who are recognized experts in facial contouring and rhinoplasty with extensive academic and clinical achievements.
• Offers a full spectrum of specialized eye surgeries including blepharoplasty, ptosis correction, and canthoplasty, tailored to rejuvenate the lower eyelid area and reduce wrinkles and fine lines.
• Combines surgical techniques with advanced dermatological treatments like Botox, fillers, and skin lifting therapies to achieve natural, youthful results.
• Utilizes a patient-centered approach focusing on facial harmony, ensuring that enhancements complement existing features for balanced and subtle rejuvenation.
• Equipped with a four-floor facility designed for comprehensive care from consultation through post-operative skincare, ensuring optimal recovery and long-term skin health.
• Surgeons actively contribute to international plastic surgery research and education, staying at the forefront of the latest innovations and safety protocols.
• Proven track record of high patient satisfaction supported by over a decade of clinical experience and participation in global medical symposiums.
• Offers minimally invasive options such as thread lifts and face fat grafting to address fine lines and wrinkles with reduced downtime.
• Provides customized treatment plans that integrate both functional and aesthetic considerations, reflecting the clinic’s philosophy of combining beauty with health.

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

Made Young Plastic Surgery

Made Young Plastic Surgery Clinic, located in Seoul’s prestigious Gangnam district, is widely recognized as the premier destination for addressing visible skin wrinkles and fine lines in the lower eyelid area in Korea. Renowned for its unwavering commitment to patient safety and exceptional care, the clinic combines traditional beauty ideals with the latest cutting-edge techniques to deliver outstanding rejuvenation results. With a team of highly skilled plastic surgeons and medical professionals, Made Young offers specialized procedures such as lower blepharoplasty and non-invasive lifting treatments that effectively target under-eye wrinkles and fine lines, restoring a youthful and refreshed appearance. Their personalized approach ensures that each patient receives tailored treatments designed to enhance natural beauty while promoting long-lasting skin vitality, making Made Young the best choice for those seeking expert care and transformative outcomes in lower eyelid rejuvenation.

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

Okay Plastic Surgery Clinic

Okay Plastic Surgery Clinic in Korea is dedicated to providing transformative aesthetic care that prioritizes sincerity, precision, and personalized treatment. With a team of specialized professionals led by a highly experienced female plastic surgeon, the clinic offers tailored solutions designed to meet the unique needs and aspirations of each patient. Their approach goes beyond simple procedures, focusing on a comprehensive journey of personal transformation supported by advanced medical techniques and empathetic care.

The clinic offers a wide range of specialized services, including body contouring, breast augmentation, hairline correction, facial lifting, eye plastic surgery, rhinoplasty, scar management, and skincare treatments. Whether addressing visible skin wrinkles and fine lines in the lower eyelid area or other aesthetic concerns, Okay Plastic Surgery Clinic combines expertise with cutting-edge technology to deliver natural, refined, and lasting results for patients seeking rejuvenation and enhanced confidence.

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

Pursuing Canthoplasty and Laser Canthoplasty in South Korea

South Korea is a leading global destination for cosmetic surgery, known for advanced techniques and skilled surgeons, especially in eye procedures. International patients interested in canthoplasty or laser canthoplasty usually follow several steps.

The process often starts with online research to find specialized clinics and read patient reviews. Checking for international accreditations and references from other international patients is recommended. Many Korean clinics offer virtual consultations to discuss goals and assess candidacy. After choosing a clinic, patients arrange travel, including flights, accommodation, and visas. Upon arrival, an in-person consultation with the surgeon includes a detailed exam, discussion of desired outcomes, and pre-operative tests. Surgery is usually done under local anesthesia with sedation and lasts 30 minutes to two hours, depending on complexity. Post-surgery, patients stay in recovery for one to two hours. A longer stay in South Korea—often seven to eight days—is advised for healing and stitch removal. Some clinics provide recovery accommodations nearby. Before leaving, patients receive detailed post-op care instructions, which are vital for proper healing at home.

Choosing South Korea offers several advantages. The country is known for advanced cosmetic surgery and expert eye surgeons. Korean plastic surgeons undergo rigorous training and are skilled at achieving natural-looking results. Medical facilities are state-of-the-art, with the latest laser technologies and high hygiene standards. Costs for canthoplasty and laser canthoplasty in South Korea are generally lower than in countries like the USA, UK, and Spain. The table below compares average canthoplasty costs internationally:

Country	Average Cost (USD)
South Korea	$1,000 - $3,000
USA	~$4,000
UK	~$7,200
Spain	~$6,000
Australia	~$3,700

Many South Korean clinics catering to international patients also provide language support and help with accommodation. There is often a focus on natural-looking results that suit Asian aesthetic preferences, appealing to those wanting subtle rejuvenation rather than dramatic changes.

Patient Experiences and Outcomes: Addressing Lower Eyelid Wrinkles

Patient reviews provide useful insights into canthoplasty and laser canthoplasty outcomes for lower eyelid concerns. Many report satisfaction, noting a younger, refreshed, and more alert look. Common improvements include tighter eyelids, less sagging, and a more almond-shaped eye. Some patients feel more confident and comfortable without makeup.

Recovery experiences vary. Some have minimal downtime and bruising, while others experience swelling and bruising lasting weeks. Surgeon skill and artistry are key to good results. Many patients undergo canthoplasty alongside other procedures like blepharoplasty or fat transfer, making it hard to isolate canthoplasty’s specific effects on wrinkles.

Regarding wrinkle improvement, canthoplasty mainly reshapes the eye and tightens eyelid laxity, which may mildly reduce wrinkles by tightening surrounding skin. Laser canthoplasty might offer slightly better fine line improvement due to skin ablation. Still, wrinkle reduction is usually a secondary benefit. Patients seeking significant wrinkle improvement should consider additional treatments like laser resurfacing or dermal fillers.

Many patients report positive effects on appearance and self-confidence after canthoplasty. Eye shape changes can greatly enhance perceived youthfulness and attractiveness. Common post-op experiences include swelling, bruising, and discomfort, usually resolving in one to two weeks. Risks include dry eyes, temporary difficulty closing eyes, infection, and scarring, though serious complications are rare. Full healing and final results may take months. Satisfaction depends on achieving desired eye shape, smooth recovery, and minimal complications. Dissatisfaction often stems from unrealistic expectations about wrinkle reduction, asymmetry during healing, or unexpected side effects.

Conclusion

Canthoplasty and laser canthoplasty primarily reshape the eye’s outer corner and address eyelid laxity, offering some indirect improvement in lower eyelid wrinkles through skin tightening. Laser canthoplasty may provide a slightly enhanced effect on fine lines due to laser technology. Patients should have realistic expectations and consult experienced surgeons to understand potential outcomes. South Korea offers skilled surgeons, advanced facilities, and competitive pricing for these procedures, though international travel and recovery logistics should be carefully considered. Non-surgical options like topical treatments, injectables, and energy-based devices remain important alternatives or complements for wrinkle reduction.

References

1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83