Surgical treatment of the epicanthal fold.

Plast Reconstr Surg

Published: April 1984

A surgical technique is described for the correction of the epicanthal fold. Indications for its use are noted and emphasis is placed on its advantages. The procedure is simple to perform and uniformly gives good results.

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http://dx.doi.org/10.1097/00006534-198404000-00007DOI Listing

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Article Synopsis
  • The epicanthus is a common eye feature among Asians, often prompting requests for medial epicanthoplasty to improve appearance by removing the prominent fold.
  • Traditional surgical methods have varied success and often result in significant scarring, which is particularly concerning for Asian patients prone to visible scars.
  • A newer technique called skin re-draping focuses on making inconspicuous incisions and has shown better results with less scarring, though it requires careful execution due to the complexity of the eye's anatomy.
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Purpose: To investigate the clinical outcomes of reverse Z-plasty in the reconstruction of epicanthal fold.

Methods: We conducted a retrospective analysis on clinical data from patients who underwent medial canthal skin redundancy reconstruction surgery from September 2019 to January 2023. The surgical procedure involved a preoperative design for the incision line, suborbicularis oculi dissection to create a muscle flap, and the use of a reverse Z-flap for the reconstruction of the lateral canthal fold.

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Objectives: To evaluate the comparation of myocutaneous flap vs. skin flap in V-Y medial epicanthal fold reconstruction.

Methods: The study, conducted from April 2017 to June 2022, involved two groups: group A, comprising 21 patients who underwent medial epicanthal fold restoration surgery using the V-Y advancement method with a skin flap, and group B, comprising 83 patients who underwent the same procedure, while with a myocutaneous flap for orbicularis oculi ring reconstruction.

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Medial Epicanthal Fold Correction Using a Y-W Epicanthoplasty in Asian Eyelids.

J Craniofac Surg

February 2024

Department of Plastic Surgery, Korea University, College of Medicine, Korea University Anam Hospital, Seoul, Korea.

Many surgical techniques for managing epicanthal folds have been reported, but their main drawbacks include a noticeable scar in Asians, acute medial canthal angle, and applicability only in mild or moderate epicanthal folds. This study described a novel surgical technique, Y-W epicanthoplasty, and assessed the medial canthal shape and scarring in patients who underwent Y-W epicanthoplasty. Patients with moderate or severe epicanthal folds between January 2004 and February 2017 were included in this study.

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Epicanthoplasty: Social and historical perspectives.

Clin Dermatol

July 2024

Department of Ophthalmology, University of Warmia and Mazury, Olsztyn, Poland; Institute for Research in Ophthalmology, Foundation for Ophthalmology Development, Poznan, Poland.

The epicanthus is a fold of skin covering the inner corner of the eye which blends into the nasal skin. It is a cosmetic feature of many populations of the world. The surgical alteration of this structure was first developed for the epicanthus found in such congenital genetic conditions as Down syndrome in the West.

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