I think this is one of the hospitals with a very strong style. After 2 years, the canthoplasty on the outer corner is fine, but the lower canthoplasty has become puffy and raised.. I also had eyelash correction surgery at the same time (I can't remember the exact procedure name), but after consulting at another clinic, they said it isn't a surgery that absolutely has to be done together with lower canthoplasty, and that there is actually concern it could damage the tissue. Opinions differ by hospital, so please keep that in mind..
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