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Epicanthoplasty with modified Y-V advancement procedure
1Lin Chiu-Hwa Clinic, Department of Surgery, Veterans General Hospital--Taipei, Taiwan.
Plastic and Reconstructive Surgery
|November 12, 1998
Summary
The modified Y-V advancement procedure effectively corrects epicanthal folds in Asian eyelids with minimal scarring. This technique is also suitable for congenital eyelid anomalies, offering a safe and reliable surgical option.
Area of Science:
- Oculoplastic surgery
- Asian blepharoplasty
- Congenital eyelid anomalies
Background:
- Epicanthal folds and absent supratarsal folds are characteristic of Asian eyelids.
- Medial canthal scarring remains a challenge in epicanthal fold correction surgery.
Purpose of the Study:
- To evaluate the efficacy of the modified Y-V advancement procedure for correcting epicanthal folds in Asian eyelids.
- To assess the procedure's outcomes in cases with congenital palpebral anomalies.
Main Methods:
- A modified Y-V advancement technique was employed in 148 cases between January 1989 and November 1997.
- Five cases involved congenital anomalies: entropion, ptosis, and Down syndrome.
Main Results:
- The modified Y-V advancement procedure resulted in minimal scarring at the medial canthus.
- Complication rates were low across the series.
Conclusions:
- The modified Y-V advancement procedure is a safe and effective method for correcting Oriental epicanthal folds.
- It offers minimal scarring and can be combined with other eyelid surgeries.