Medial Epicanthoplasty Using a Lower Palpebral Margin Incision Combined With a Tiny Triangular Flap

Area of Science:

• Oculoplastic surgery
• Asian blepharoplasty techniques

Background:

• Epicanthus is highly prevalent in Asian populations.
• Existing epicanthus correction methods can have complications.

Purpose of the Study:

• To introduce a novel surgical technique for epicanthal fold correction.
• To evaluate the efficacy and patient satisfaction of this new method.

Main Methods:

• A surgical approach involving a lower palpebral margin incision and a triangular flap.
• Removal of the ectopic medial canthal ligament for medial canthus repositioning.
• Combination with double eyelid plasty (incision or non-incision).

Main Results:

• 547 procedures performed over 7 years with 1-month to 5-year follow-up.
• 98% patient satisfaction with outcomes.
• Achieved tiny scars, obvious medial canthus enlargement, and natural double eyelid lines.

Conclusions:

• The technique is simple and preserves the medial canthus's original shape.
• Effectively widens the palpebral fissure.
• Highly suitable for epicanthoplasty in Asian patients.