Incisional Blepharoplasty with Skin Excision for Upper Eyelid Epiblepharon Correction: Functional and Aesthetic...

Epiblepharon is characterized by a fold of skin that stretches horizontally across the upper or lower eyelid and is usually associated with eyelash inversion. Upper eyelid epiblepharon is relatively rare and is treated with double-eyelid surgery using a buried suture or an incisional method. To date, no reports have described a detailed treatment course for epiblepharon that simultaneously achieves aesthetic improvement and corrects eyelash inversion.

We present the treatment outcomes of two cases of upper eyelid epiblepharon with excess skin in a 16-year-old female adolescent patient and a 35-year-old women, both treated with incisional double-eyelid surgery combined with skin excision. In both patients, eyelash inversion was corrected, double eyelids were formed, and aesthetic improvements were made.

By accurately performing appropriate skin excision and suture placement to create double eyelids, a functionally and aesthetically satisfactory surgical outcome can be achieved in patients with upper eyelid epiblepharon.