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The Application of Reverse Z-Plasty Design in Medial Canthal Skin Redundancy Reconstruction Surgery
Zhang Huahui1, Xue Dan2, Qian Jiange3
1Department of Plastic and Cosmetic, Zhejiang Hospital.
The Journal of Craniofacial Surgery
|April 30, 2024
Summary
Reverse Z-plasty effectively reconstructs the epicanthal fold, improving intercanthal distance and angles. This surgical technique offers natural reshaping and high patient satisfaction with minimal scarring.
Area of Science:
- Oculoplastic surgery
- Facial plastic surgery
- Reconstructive surgery
Background:
- Epicanthal folds can affect facial aesthetics and eyelid function.
- Reconstruction of the medial canthal area presents unique surgical challenges.
Purpose of the Study:
- To evaluate the clinical outcomes of using reverse Z-plasty for epicanthal fold reconstruction.
- To assess the efficacy and patient satisfaction with this surgical technique.
Main Methods:
- Retrospective analysis of patients undergoing medial canthal reconstruction (Sept 2019 - Jan 2023).
- Surgical technique involved reverse Z-flap for lateral canthal fold reconstruction.
- Postoperative assessment of intercanthal distance, medial canthus position/angle, and patient satisfaction.
Main Results:
- Significant increase in intercanthal distance (3-6 mm) and enlargement of the canthal angle (49° to 62°).
- Medial canthus points shifted superiorly and laterally.
- High patient satisfaction reported with inconspicuous scarring within 3 months.
Conclusions:
- Reverse Z-plasty is an effective method for epicanthal fold reconstruction.
- The technique provides stable, reliable results with good aesthetic outcomes.
- Precise incision design and flap stability contribute to successful reconstruction.
