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  • Lowering the outer corner (Lateral Hotz)

Lowering the outer corner
(Lateral Hotz)

Surgical method of Lateral Hotz was developed and distributed by BK Plastic Surgery Hospital, the surgical procedure to lower the outer corner of one's eyes slanted eyes to achieve bigger eyes and smoother appearance simultaneously.
Many plastic surgery hospitals nowadays use BK Lateral Hotz technique derived from BK Plastic Surgery Hospital by different names; Lower Canthoplasty, Lower eyelid S line, Lower Canthopexy or etc.
Patients can also consider Outer Corner Extension (Lateral Canthoplasty) along with Lateral Hotz surgery for the maximum satisfaction.

BK Plastic Surgery Hospital, the Origin of Lateral Hotz

Surgical procedures and methods of Lateral Hotz were primally announced to the Korean Society of Plastic and Reconstructive Surgeons in 2004. Since then, a lot of plastic surgeons have been borrowing the BK way of lowering the outer corner.

You can benefit from Lateral Hotz surgery when…

- Your previous inner corner fold removal and Outer Corner Extension surgery were not satisfactory.
- Upper and lower part of your eyes are originally short.
- The Lateral part of your eyes are up-warded and slanted.
- The distance between both eyes is too narrow due to inner corner fold removal.

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Lateral Canthoplasty and Lateral Hotz Procedure

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  • 1. Resect the inner conjunctiva along the outer corner of eye.
  • 2. Lower the outer corners by 1/3 and fix them.
  • 3. Extend the incision for about 4-6 mm, and suture along the inner surface of eyelid to hide the scar.
  • 4. Avoid recurrence by removing the mucous membrane.

Features of Lateral Hotz

  • 1. Your eyes will look bigger by opening up the outer corners of the eyes.
  • 2. Fierce appearance due to slanted eyes will change to softer look with round eyes.
  • 3. An accurate measurement of the distance between canthus and outer corner has to be made before the surgery.
  • 4. Incision is made on the depressed area on the outer corner; the scar is almost invisible after surgery.

BK Lateral Hotz FAQ

Q: Can Lateral Hotz be performed on the eyes where lateral corner extension is inoperable?

A: Yes. In case of sunken eyes, there might not be enough space to make the extension. If the outer corner extension is operated on such eyes, it might result in unnatural appearance with redness around the bare skin. Thus, Lateral Hotz is considerable to be done together to improve the possible awkward result.

Operation Time

20 minutes


Local Anesthesia with IV sedation

Stitch Removal

· 7 days after surgery (In case of Lateral Canthoplasty with Lateral Hotz)
· Not necessary for Lateral Hotz alone as dissolvable stitches are used.

Recovery Period

· One week after surgery
· Natural look achieved within 1-2 months
· Scars almost invisible after 3-4 months after surgery

* Recovery period varies on individual cases.

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