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Epicanthoplasty With Rotated-advanced-back Cut Flap.

Liya Yang1, Yuanliang Huang1, HaiDong Li2

  • 1Cranio-maxillo-facial Surgery Department.

The Journal of Craniofacial Surgery
|October 7, 2020
PubMed
Summary

The rotated, advanced, back cut flap (R-A-B flap) effectively corrects congenital epicanthus in cosmetic surgery. This reliable method yields satisfactory results with minimal scarring for patients seeking epicanthoplasty.

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Area of Science:

  • Oculoplastic Surgery
  • Cosmetic Surgery
  • Asian Blepharoplasty

Background:

  • Epicanthoplasty is a common cosmetic procedure in Asia.
  • Congenital epicanthus can affect eyelid aesthetics.
  • Addressing epicanthal folds is crucial for facial harmony.

Purpose of the Study:

  • To introduce and evaluate the rotated, advanced, back cut (R-A-B) flap technique.
  • To assess the efficacy and aesthetic outcomes of the R-A-B flap for epicanthus correction.
  • To determine the reliability and patient satisfaction with this surgical method.

Main Methods:

  • A modified R-A-B flap epicanthoplasty was performed on 118 patients between January 2017 and December 2018.
  • The surgical technique involved a specific flap design for epicanthal fold correction.
  • Aesthetic outcomes were evaluated based on patient feedback using a grading scale.

Main Results:

  • Excellent aesthetic results were achieved in 73% of patients ("perfect").
  • An additional 27% of patients reported "good" results.
  • No patients were dissatisfied or reported failed outcomes, with no significant complications.

Conclusions:

  • The R-A-B flap is a reliable and straightforward technique for epicanthoplasty.
  • This method provides good cosmetic outcomes for congenital epicanthus correction.
  • The R-A-B flap results in minimal scar formation, enhancing patient satisfaction.