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Medial epicanthoplasty using the palpebral margin incision method.

Wen Chen1, Shenkai Li, Yangqun Li

  • 1Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. chenwencw@163.com

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|November 26, 2008
PubMed
Summary

A new epicanthoplasty technique effectively corrects epicanthal folds in Asian patients, offering scarless results and high patient satisfaction. This double eyelidplasty-combined procedure is a suitable approach for Asian individuals seeking cosmetic enhancement.

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Area of Science:

  • Plastic Surgery
  • Ophthalmology
  • Aesthetic Medicine

Background:

  • Epicanthal deformity is a common cosmetic concern among Asian populations.
  • Existing surgical methods for correction are often combined with double eyelidplasty.

Purpose of the Study:

  • To introduce and evaluate a novel surgical technique for epicanthal fold correction.
  • To assess the efficacy and aesthetic outcomes of the new epicanthoplasty method.

Main Methods:

  • The technique involves incisions along the upper and lower palpebral margins.
  • It includes releasing and excising underlying connective tissues, orbicularis oculi muscle fibers, and the superficial head of the medial canthal ligament.
  • Repositioning of the medial canthus and excision of redundant skin are performed during the double eyelidplasty procedure.

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Main Results:

  • Eighty-two epicanthoplasties were successfully performed over two years.
  • Follow-up periods ranged from 1 to 32 months, with no observed recurrence of epicanthal folds.
  • All patients reported satisfaction with the aesthetic results, and postsurgical scars were imperceptible.

Conclusions:

  • The novel epicanthoplasty method offers significant advantages, notably avoiding scar formation.
  • This technique is particularly well-suited for Asian patients requiring epicanthal fold correction.
  • The procedure demonstrates high patient satisfaction and excellent aesthetic outcomes.