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Periciliary Y-V epicanthoplasty.

Young-Joon Lee1, Rong-Min Baek, Yong-Tai Song

  • 1Lee Young-Joon Aesthetic Clinic, Seoul, Korea.

Annals of Plastic Surgery
|March 2, 2006
PubMed
Summary

This study presents a periciliary Y-V advancement technique for epicanthoplasty, effectively reducing medial epicanthal folds. The method minimizes visible scarring, offering a reliable solution for patients seeking aesthetic improvement.

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Area of Science:

  • Oculoplastic surgery
  • Facial plastic surgery
  • Asian blepharoplasty

Background:

  • The epicanthal fold is a common feature, particularly in the Asian population.
  • Traditional epicanthoplasty techniques can result in visible scarring, deterring some patients and surgeons.
  • Addressing the epicanthal fold requires methods that balance aesthetic outcomes with minimal scarring.

Purpose of the Study:

  • To evaluate the efficacy and safety of a periciliary Y-V advancement technique for epicanthoplasty.
  • To assess the potential for visible scar formation using this specific surgical approach.
  • To determine patient satisfaction and complication rates associated with the periciliary Y-V method.

Main Methods:

  • A periciliary Y-V advancement epicanthoplasty was performed on 118 patients with medial epicanthal folds between 2002 and 2004.

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  • The procedure was indicated for patients with wide interepicanthal distance (>32 mm) or an eclipsed lacrimal caruncle.
  • Incisions were strategically placed along eyelashes and skin-mucosal junctions to prevent scarring.

    • Main Results:

    • The periciliary Y-V epicanthoplasty yielded satisfactory results in most patients.
    • Minimal complications were reported, with no significant issues related to medial canthal scarring.
    • The technique proved effective in eliminating the epicanthal fold, particularly in cases with specific anatomical indicators.

    Conclusions:

    • The periciliary Y-V advancement epicanthoplasty is a reliable and effective surgical method for correcting medial epicanthal folds.
    • This technique significantly minimizes the risk of visible scar formation in the medial canthal area.
    • It offers a safe and aesthetically pleasing solution for patients desiring epicanthal fold reduction.