The presence of epicanthal folds is a unique appearance in the eyelids of Asians. Various medial epicanthoplasty techniques have been discussed to achieve a better aesthetic result. Owing to the complexity of the surgery, a design based on anatomic variations of the epicanthal fold is imperative. From September 2006 to November 2010, the author performed medial epicanthoplasty procedures on 86 Asian patients. The whole procedure, including discrepant Z skin incision, myotomy and the plication of the medial canthal ligament (MCL), was performed layer by layer. The inner canthal distance (ICD) was measured and calculated by software ImageJ before and 3 months after surgery. All patients were satisfied with the long-term results and there were no recurrences of the epicanthal fold. The shortening ratios of the ICD ranged from 7.2% to 13.7% (average 10.78%) in the group without the plication of the MCL (57/86). In addition, the ICD shortening ratio ranged from 9.1% to 17.7% (average 15.66%) in the group with the MCL plication (29/86). The technique we described is aimed to correct layered structures including skin, muscle and the MCL of the medial epicanthus. Satisfactory results were ideally achieved with finer scar and natural cosmetic appearance in this series.
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- Medial epicanthoplasty combined with plication of the medial canthal tendon in Asian eyelids.Plast Reconstr Surg. 2002; 110 (discussion 301): 293-300
- Textbook of ophthalmology.Mosby, St. Louis1952
- Epicanthoplasty with modified Y–V advancement procedure.Plast Reconstr Surg. 1998; 102: 1835-1841
- Anchor epicanthoplasty combined with out-fold type double eyelidplasty for Asians: do we have to make an additional scar to correct the Asian epicanthal fold?.Plast Reconstr Surg. 2000; 105: 1872-1880
- Double eyelid blepharoplasty incorporating epicanthoplasty using Y–V advancement procedure.J Plast Reconstr Aesthet Surg. 2008; 61: 901-905
- Correction of the epicanthal fold using the VM-plasty.Br J Plast Surg. 2000; 53: 95-99
- Epicanthus and telecanthus.Int Ophthalmol Clin. 1964; 4: 359-376
- Modified Z-epicanthoplasty in the Asian eyelid.Arch Facial Plast Surg. 2000; 2: 43-47
- Park Z-epicanthoplasty.Facial Plast Surg Clin North Am. 2007; 15 (vi): 343-352
- Telecanthus and hypertelorism in frontoethmoidal meningoencephaloceles and the surgical correction of these conditions: part II. A novel surgical approach in the treatment of telecanthus.J Craniofac Surg. 2008; 19: 148-155
- A surgical procedure for blepharoptosis vera and for pseudo-blepharoptosis orientalis.Br J Plast Surg. 1962; 15: 271-276
- Medial epicanthoplasty using the skin redraping method.Plast Reconstr Surg. 2007; 120: 1740
- Root z-epicanthoplasty in Asian eyelids.Plast Reconstr Surg. 2002; 109 (discussion 2072–2073): 2067-2071
- A new Z-epicanthoplasty and a concomitant double eyelidplasty in Chinese eyelids.Plast Reconstr Surg. 2006; 118: 900-907
Published online: July 03, 2012
Accepted: December 29, 2011
Received: June 25, 2011
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.