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Epicanthal Fold Reconstruction Using V-Y Advancement and Triangular Flap.
Danwei Huang1, Suzhuang Hong2, Jingjing Hou3
1School of Medicine, Xiamen University, Xiamen, Fujian, 361104, China.
The Journal of Craniofacial Surgery
|November 20, 2025
Summary
This study presents a new V-Y advancement and triangular flap technique to fix overcorrected epicanthal folds, improving both appearance and function. The method achieved high patient satisfaction and reduced the need for further surgery.
Area of Science:
- Oculoplastic surgery
- Facial plastic surgery
- Aesthetic surgery
Background:
- Epicanthoplasty is common in Asian populations.
- Overcorrection of epicanthal folds presents aesthetic and functional challenges.
Purpose of the Study:
- To evaluate a novel V-Y advancement and triangular flap technique for correcting iatrogenic epicanthal fold overcorrection.
- To emphasize anatomic precision and individualized aesthetic outcomes.
Main Methods:
- 19 patients with overcorrected epicanthal folds underwent reconstruction.
- The V-Y advancement and triangular flap technique was employed.
- Medial canthal angles were measured preoperatively and postoperatively.
- Patient satisfaction was assessed via surveys at 1, 3, and 6 months.
Main Results:
- The medial canthal angle significantly increased post-surgery (P = 0.026).
- High patient satisfaction rates were sustained up to 6 months.
- The technique improved lacrimal caruncle coverage and medial canthal contour, reducing the need for revisions.
Conclusions:
- The V-Y advancement and triangular flap technique is a reliable solution for epicanthal fold overcorrection.
- This method effectively balances functional and aesthetic requirements.
- Further long-term studies with morphometric analysis are recommended.
