Z-epicanthoplasty in Asian eyelids

Area of Science:

• Oculoplastic surgery
• Asian blepharoplasty
• Cosmetic facial surgery

Background:

• Epicanthal folds are a unique feature of Asian eyelids, often sought for cosmetic alteration.
• Supratarsal fold creation is a common cosmetic procedure in Asia.
• Epicanthoplasty aims to improve the aesthetic outcome of double-eyelid surgery.

Purpose of the Study:

• To present a simple and reproducible Z-epicanthoplasty technique for Asian eyelids.
• To evaluate the efficacy of this method in eliminating epicanthal folds and enhancing eye aesthetics.
• To compare the outcomes with more complex techniques like W-plasty.

Main Methods:

• A Z-epicanthoplasty technique was developed and applied to 160 cases over 21 months.
• The procedure focuses on the medial canthal area to lengthen the palpebral fissure.
• Surgical outcomes were assessed based on simplicity, reproducibility, and scarring.

Main Results:

• The Z-epicanthoplasty technique proved simple to design and execute.
• Minimal scarring was observed in the medial canthal area post-procedure.
• The method effectively enhanced the aesthetic appearance of the eyes by lengthening the palpebral fissure.

Conclusions:

• The presented Z-epicanthoplasty is a straightforward and effective method for Asian eyelid surgery.
• This technique offers advantages over complex procedures by minimizing scarring.
• It provides a valuable option for patients seeking to reduce epicanthal folds and achieve a larger eye appearance.