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Dual-plane epicanthoplasty in Chinese blepharoplasty
1The 3rd Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Journal of Cosmetic Dermatology
|April 22, 2020
Summary
Dual-plane epicanthoplasty offers a novel solution for Chinese patients seeking eyelid surgery, effectively minimizing medial canthal scarring for improved cosmetic results.
Area of Science:
- Oculoplastic surgery
- Facial plastic surgery
- Aesthetic surgery
Background:
- Chinese eyelids often feature medial epicanthal folds and lack superior palpebral folds.
- Existing epicanthoplasty techniques can result in noticeable medial canthal scarring.
- Addressing these aesthetic concerns is crucial for patient satisfaction.
Purpose of the Study:
- To introduce a novel dual-plane epicanthoplasty technique.
- To minimize the risk of postoperative medial canthal scarring.
- To achieve natural and aesthetically pleasing outcomes in Chinese patients.
Main Methods:
- The dual-plane epicanthoplasty technique utilizes advanced and rotation skin flaps on different planes.
- Complete release of connective fibers between the skin and orbicularis oculi muscle.
- Specific anchoring of advanced and rotation flaps towards the lacrimal caruncle and nasal skin.
Main Results:
- 216 patients underwent dual-plane epicanthoplasty between January 2016 and September 2018.
- 99.51% of patients achieved desirable cosmetic results with minimal scarring.
- Adequate lacrimal caruncle exposure was noted in most cases.
Conclusions:
- Dual-plane epicanthoplasty is an effective technique for Chinese patients.
- The procedure yields good aesthetic outcomes, with or without double eyelidplasty.
- This novel approach successfully addresses concerns regarding medial canthal scarring.
