Epicanthoplasty With Rotated-advanced-back Cut Flap.

Background: Epicanthoplasty is one of the most popular cosmetic surgeries in Asia. The aim of this study was to present a rotated, advanced, back cut flap (R-A-B flap) that leads to correct the congenital epicanthus effectively with satisfactory results.

Methods: From January of 2017 to December of 2018, we performed the modified cut back flap epicanthoplasty to correct epicanthus. The esthetic results were evaluated with patients' feedback: perfect, good, dissatisfied, or failed.

Results: A total of 118 patients were involved. Postoperative evaluation using a grading scale indicated "perfect" results for 86 patients (73%) and "good" results for 32 patients (27%). No patients rated the results as "dissatisfied" or "failed." There were no significant postoperative complications.

Conclusion: The R-A-B flap for epicanthoplasty is a reliable and simple method, resulting in good cosmetic outcome with minimal scar formation.