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Epicanthus correction with a modified asymmetric Z-plasty
Gaofeng Li1, Anqi Fu1, Bo Zhang1
1Department of Plastic and Cosmetic Surgery, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan Province P.R. China.
JPRAS Open
|July 11, 2022
Summary
Modified asymmetric Z-plasty effectively corrects epicanthus with good surgical outcomes. This technique offers a simple approach for epicanthus correction, resulting in minimal scarring and high patient satisfaction.
Area of Science:
- Oculoplastic surgery
- Plastic surgery
- Facial reconstructive surgery
Background:
- Epicanthus is a common congenital condition affecting eyelid aesthetics.
- Surgical correction of epicanthus aims to improve eyelid shape and function.
- Existing Z-plasty techniques for epicanthus correction have varying outcomes and complexities.
Purpose of the Study:
- To evaluate the clinical efficacy of a modified asymmetric Z-plasty technique for epicanthus correction.
- To assess surgical outcomes, including aesthetic results and scarring, following the modified procedure.
- To determine the safety and effectiveness of this specific Z-plasty approach.
Main Methods:
- A retrospective study of 130 patients undergoing modified asymmetric Z-plasty for epicanthus correction.
- Surgical axis defined from medial canthus skin fold edge to innermost palpebral edge.
- Follow-up assessments at 1, 3, and 6 months post-surgery, evaluating scarring and outcomes.
Main Results:
- Successful epicanthus correction in all 130 patients at 6 months.
- Good wound healing with suture removal at 7 days postoperatively.
- Minimal scarring observed in most patients; only 3 required minor intervention (laser treatment) for residual scarring.
Conclusions:
- The modified asymmetric Z-plasty is a simple and effective surgical method for epicanthus correction.
- The technique yields favorable aesthetic results with a low incidence of significant scarring.
- This approach provides a reliable option for improving eyelid appearance in patients with epicanthus.
