How Much Does Double Eyelid Surgery with Epicanthoplasty Cost?

Double eyelid surgery (blepharoplasty) and medial epicanthoplasty—commonly referred to as “opening the inner canthus”—are among the most frequently performed aesthetic oculoplastic procedures in East Asia. Pricing varies significantly depending on geographic location, surgeon expertise, facility accreditation, and surgical technique. In major metropolitan areas of China, for example, double eyelid surgery alone typically ranges from ¥3,000 to ¥15,000 RMB, while combined double eyelid surgery with medial epicanthoplasty generally costs between ¥8,000 and ¥25,000 RMB. These figures reflect fees for board-certified plastic surgeons operating in accredited medical facilities; lower-cost options may involve trainees, non-specialists, or unregulated clinics, which carry increased risks of asymmetry, scarring, or functional impairment.

It is critical to recognize that cost should never supersede safety and outcomes. Medial epicanthoplasty, in particular, requires precise anatomical knowledge of the medial canthal tendon, lacrimal system, and orbicularis oculi muscle to avoid complications such as ectropion, tear duct injury, or visible webbing. Similarly, double eyelid creation must account for levator aponeurosis integrity, fat pad distribution, and skin elasticity to ensure natural contour and preserved eyelid function. Patients are strongly advised to consult with a fellowship-trained oculoplastic or facial plastic surgeon, review before-and-after photographs of similar anatomies, and confirm that the procedure will be performed in a licensed surgical suite with appropriate anesthesia support.

Additional considerations include preoperative assessments (e.g., slit-lamp examination, lid margin evaluation), postoperative follow-up visits, and potential revision costs—none of which are always included in quoted prices. Transparent, itemized pricing and written informed consent outlining both benefits and recognized risks—including infection, hematoma, lagophthalmos, and unsatisfactory aesthetic results—are essential components of ethical practice.