Modification of Mustardé technique for correction of epicanthus in Asian patients

For correction of epicanthus in Asian patients, a modification of the Mustardé technique was done to avoid excessive scarring and to retain ethnic characteristics. The method includes adapting half Y-V advancement instead of transposing two cephalic flaps in the four-flap technique of Mustardé. Three patients with blepharophimosis and a patient with Down syndrome were operated on by this modification with satisfactory results.