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Updated: Jun 25, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

[Epicanthus correction by modified epicanthoplasty].

Zhuo-Wei Jin¹, Kai Liu

¹Department of Plastic and Cosmetic Surgery, Fuding Hospital, Fuding 355200, China.

Zhonghua Zheng Xing Wai Ke Za Zhi = Zhonghua Zhengxing Waike Zazhi = Chinese Journal of Plastic Surgery

|February 27, 2009

Summary

This summary is machine-generated.

This study presents a modified epicanthoplasty technique using transverse-vertical plasty. The procedure yielded satisfactory cosmetic results with no relapse in 118 patients, demonstrating its clinical practicality.

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Area of Science:

Oculoplastic surgery
Facial plastic surgery

Background:

Epicanthoplasty is a surgical procedure to correct epicanthal folds.
Existing techniques may have limitations in achieving optimal aesthetic outcomes.

Purpose of the Study:

To describe and evaluate a modified epicanthoplasty technique.
To assess the efficacy and long-term effects of this surgical approach.

Main Methods:

A modified epicanthoplasty technique based on transverse-vertical plasty was employed.
Subcutaneous undermining, release of orbicularis oculi muscle, and medial canthal tendon shortening were performed.
Skin redistribution was utilized to achieve the desired aesthetic result.

Main Results:

118 patients underwent the modified epicanthoplasty between October 2006 and November 2007.
Follow-up ranged from 3 to 15 months.
Satisfactory cosmetic outcomes were observed, with no instances of relapse and inconspicuous scarring.

Conclusions:

The modified epicanthoplasty is a practical and effective technique for clinical application.
The procedure demonstrates good long-term cosmetic effects and patient satisfaction.