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The Modified Z-Epicanthoplasty-A Stepwise and Individualized Design
Dongze Lyu1, Yunbo Jin, Lei Chang
1From the *Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China; and †Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland.
Annals of Plastic Surgery
|March 9, 2016
Summary
A new stepwise medial epicanthoplasty technique effectively reduced the intercanthal distance ratio in Asian patients. Most patients experienced minimal scarring, showing high satisfaction with this customized surgical approach.
Area of Science:
- Oculoplastic surgery
- Aesthetic surgery
- Asian blepharoplasty
Background:
- Medial epicanthal folds are common in Asian populations, affecting eyelid aesthetics.
- Surgical correction aims to improve intercanthal distance and reduce visible scarring.
Purpose of the Study:
- To introduce and evaluate a stepwise, customized medial epicanthoplasty technique.
- To assess the outcomes in Asian patients with primary medial epicanthal folds.
Main Methods:
- Retrospective review of 48 Asian patients undergoing stepwise z-epicanthoplasty.
- Evaluation of intercanthal distance (ICD) ratio and scar visibility pre- and post-operatively.
- Long-term follow-up at 3, 6, and 12 months.
Main Results:
- Significant reduction in the median ICD ratio by 5.6% (P < 0.001).
- 83.3% of patients had no visible scarring or only minimal scarring.
- No severe scarring requiring revision was reported.
Conclusions:
- The stepwise z-epicanthoplasty is an effective, customized technique for medial epicanthal fold correction.
- The procedure is applicable to various epicanthal fold types with a high satisfaction rate.
- This method offers stable long-term results and has a short learning curve.
