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A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy
Published on: January 23, 2026
[A new method for medial canthoplasty combined double eyelid formation]
Yu Yang1, Hai-ming Zhang, Shou-duo Hu
1Peking Union Medical College, Chinese Academy Medical Sciences, Plastic Surgery Hospital, Beijing, China.
Summary
A novel surgical technique combines medial canthoplasty and upper eyelid fold creation in one procedure. This method effectively corrects medial epicanthus and forms aesthetically pleasing eyelid folds, with high patient satisfaction.
Area of Science:
- Oculoplastic surgery
- Aesthetic surgery
Context:
- Medial epicanthus and lack of upper eyelid fold are common cosmetic concerns.
- Existing surgical methods may involve multiple procedures or significant scarring.
Purpose:
- To introduce and evaluate a new surgical technique for medial canthoplasty combined with upper eyelid fold formation.
- To assess the efficacy and patient satisfaction with this single-stage procedure.
Summary:
- A novel technique was developed to address medial epicanthus and create an upper eyelid fold simultaneously.
- Eighty-six patients with mild to moderate medial epicanthus underwent the procedure, with 67 followed for over six months.
- The technique successfully corrected epicanthus in most cases and created parallel upper eyelid folds, with all patients reporting satisfaction.
Impact:
- This single-stage procedure offers an efficient solution for medial epicanthus correction and eyelid fold creation.
- The technique demonstrates potential applicability for a wide range of medial epicanthus cases, excluding inverse epicanthus.
- High patient satisfaction suggests the procedure meets aesthetic goals and improves quality of life.

