Summary
The presence of an epicanthal fold is a distinctive anatomic feature of the Asian
population. Epicanthoplasty can be very helpful in resolving the above problematic
anatomy and may produce a more aesthetic appearance. The goal of this report is to
describe a modification in the traditional operative methods related to medial epicanthoplasty,
to minimise scar appearance and maximise normal appearance. An inverse triangular
flap of skin is based on the semilunar skin, which is elevated and retracted within
the line of the normal eyelid. The design of four key points is crucial to this epicanthoplasty.
A total of 62 patients were performed with this method; 42 of this group underwent
simultaneous double-eyelid plasty. Most of the patients obtained satisfactory results
aesthetically followed from 6 months to 4 years postoperation. There was no recurrence
of the epicanthal fold. As many as 38 patients were followed by interview and photographs
were taken at the same time. The rest of the patients were followed up through telephone.
No patients complained about visible scarring in the epicanthal area. As many as 60 patients obtained satisfactory results aesthetically, two patients complained about
the median canthal asymmetry. The result indicates the reliability and feasibility
of epicanthoplasty.
Keywords
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References
- Root Z-epicanthoplasty in Asia eyelids. In correspondence and brief communications.Plast Reconstr Surg. 2003; 111: 2477
- Epicanthoplasty with modified Y–V advancement procedure.Plast Reconstr Surg. 1998; 102: 1835-1841
- Asian facial cosmetic surgery.Saunders, Philadelphia, PA2007
- Aesthetic surgery in Asians.Curr Opin in Otolaryngol Head Neck Surg. 2009; 17: 279-286
- Z-epicanthoplasty in Asian eyelids.Plast Reconstr Surg. 1996; 98: 602
- Periciliary Y–V epicanthoplasty.Ann Plast Surg. 2006; 56: 274-278
Article info
Publication history
Published online: August 04, 2011
Accepted:
July 10,
2011
Received:
March 26,
2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
