Sinchon Epicanthoplasty Scar Removal: Comprehensive Guide to Customized Laser Treatments by Scar Type | [Yonsei Star Dermatology Sinchon]

Epicanthoplasty is an eye surgery that effectively corrects the eye shape, but many people are concerned about the scars left at the inner corner of the eye after surgery. The first question that usually comes to mind is, "Can this scar be removed with a laser?" To answer directly, improvement can be expected if treatment tailored to the scar's shape and color is started at the appropriate time.

Epicanthoplasty is a surgical procedure that involves incising or correcting the Mongolian fold covering the inner corner of the eye. As skin incision is involved, there is a possibility of scarring no matter how precisely it is sutured. In particular, the inner corner of the eye is an area where the skin is thin and moves a lot with facial expressions, making scars easily noticeable.

The extent of scarring can vary depending on individual skin characteristics, recovery environment, and post-operative care methods. In the clinic, even with the same surgery, the pattern of scars often appears differently from person to person.

The most important principle in scar removal treatment is to vary the treatment method according to the shape and color. Even for the same epicanthoplasty scar, the laser used and the treatment method will differ depending on the condition. The table below summarizes the type-specific approaches.

Red scars that appear relatively early after surgery are, simply put, a state of overactive blood vessels. At this stage, a vascular laser called Vbeam Prima can be helpful.

Vbeam Prima selectively targets abnormally expanded blood vessels within the scar. It helps to reduce redness by coagulating blood vessels while minimizing damage to surrounding tissues, and it can help prevent the scar from hardening or rising.

Treatment response is reported to be better for early scars. Therefore, it is recommended to start treatment quickly from the point when epicanthoplasty scars become red. If redness is the main concern, the approach is similar to the vascular laser principles used for vascular-related symptoms like facial redness.

Over time, scars that have hardened or risen above the skin surface have limitations with vascular lasers alone. In such cases, the Ultrapulse Alpha laser, which helps to refine the skin surface and boost insufficient skin regeneration, can be considered.

Ultrapulse Alpha is a high-output CO₂ fractional laser that precisely removes scar tissue and induces new collagen regeneration. The key is to ablate excessively proliferated scar tissue and naturally smooth the boundary with the surrounding skin.

Such laser treatment can adjust the number of sessions and intensity according to the depth and thickness of the scar, allowing for delicate, personalized planning. Even when raised scars are hardened like cosmetic surgery scars, the same principle is applied in a stepwise approach.

If you are confused about scar types and treatment directions, we recommend you check with us instead of worrying alone. For any questions, inquire via chat consultation regarding epicanthoplasty scar treatment.

Conversely, for depressed scars where the skin surface is sunken, sufficient improvement may be difficult to expect with laser treatment alone. If there are severely sunken marks, a combined treatment of laser therapy and Subcision may be considered.

Subcision is a procedure that physically separates fibrotic tissue beneath the depressed scar using a special needle. The principle is to induce the sunken area to rise by breaking the tissue connections where the scar is adhered to the inside of the skin.

When combined with a laser, it can address both the visible skin texture and internal structural problems of the skin layer. However, it is important to receive the treatment safely from medical staff with accurate knowledge and sufficient experience in the procedure. The approach for depressed scars also applies a similar principle in the treatment of atrophic acne scars.

This is one of the most common questions asked by those with epicanthoplasty scars. A common point in scar treatment is to start quickly before the scar matures.

However, scars caused by surgery have a slightly different aspect. It is good to note that treatment can begin after bleeding has stopped in the affected area and stitches have been removed, allowing for some recovery. In general surgical scar management, the recovery stage is checked first in the same way.

Reviewing the following items before starting treatment can be helpful.

• Scar analysis comes first. What is visible to the naked eye may differ from the actual skin condition, so treatment is designed based on the medical staff's accurate type analysis.
• Treatment does not end with one session. Scar removal usually requires staged treatment over several sessions, so rather than expecting dramatic changes in one session, a consistent plan is made.
• Make sun protection a habit. UV exposure is a major cause of worsening scar pigmentation, so consistently use sunscreen with SPF 50 or higher.
• Confirm the recovery period with medical staff. The starting time for surgical scars may vary depending on the suturing and recovery stages.

Epicanthoplasty scars can be expected to improve with customized laser treatment based on accurate type analysis at the appropriate time. However, the degree of improvement and recovery patterns may vary individually.

If you want to confirm what type of scar you have or when to start, feel free to inquire.

Representative Director Lee Sang-joo (MD, PhD, Yonsei University College of Medicine and Graduate School, completed dermatology residency at Severance Hospital, President of the Korean Dermatological Association) Representative Director Lee Sang-joo Profile First published 2026-03-12 / Last reviewed 2026-06-16

This content is for general information purposes only, and the type of scar and treatment response may vary for each individual, so please consult with medical staff for an accurate diagnosis and treatment plan.