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Facial Plast Surg 2020; 36(05): 584-591
DOI: 10.1055/s-0040-1715617
Original Article

Medial Epicanthoplasty: What Works and What Does Not

Ji Sun Baek 
1   Department of Oculoplasty, Kim's Eye Hospital, Seoul, Republic of Korea
,
Young Joo Choi
2   Department of ophthalmology, Choi's Eye Clinic, Seoul, Republic of Korea
,
Jae Woo Jang 
1   Department of Oculoplasty, Kim's Eye Hospital, Seoul, Republic of Korea
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Abstract

Blepharoplasty is the most frequently performed cosmetic surgical procedure in Asia. The epicanthal fold, which is common in Asians, is characterized by a curved skin fold that partially hides the caruncle and lacrimal lake. The epicanthal fold may cause weakening of the esthetic appearance after blepharoplasty. It makes the palpebral fissure height narrower and the length shorter horizontally. Blepharoplasty with epicanthoplasty can enhance the esthetic appearance, but no gold standard surgical technique has been established for epicanthoplasty. Surgeons can choose the surgical technique according to their preference and the patient's characteristics. A carefully designed and fine surgical technique, especially with the use of loupes and tension-free skin closure with the thinnest needle, is required to avoid scarring.

Keywords

epicanthal fold - epicanthoplasty - Asian - double eyelid crease surgery - blepharoplasty


Publication History

Article published online:
16 September 2020

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  • References

  • 1 Park JI. Z-epicanthoplasty in Asian eyelids. Plast Reconstr Surg 1996; 98 (04) 602-609
    CrossrefPubMedGoogle Scholar
  • 2 Yi SK, Paik HW, Lee PK, Oh DY, Rhie JW, Ahn ST. Simple epicanthoplasty with minimal scar. Aesthetic Plast Surg 2007; 31 (04) 350-353
    CrossrefPubMedGoogle Scholar
  • 3 Wu XS, Jian XC, He ZJ, Gao X, Li Y, Zhong X. Investigation of anthropometric measurements of anatomic structures of orbital soft tissue in 102 young han Chinese adults. Ophthal Plast Reconstr Surg 2010; 26 (05) 339-343
    CrossrefPubMedGoogle Scholar
  • 4 Hanada AL, de Souza Jr EN, Moribe I, Cruz AA. Comparison of palpebral fissure obliquity in three different racial groups. Ophthal Plast Reconstr Surg 2001; 17 (06) 423-426
    CrossrefPubMedGoogle Scholar
  • 5 Cho IC. The Art of Blepharoplasty. 1st ed. Seoul, Korea: Koonja; 2015: 131
    Google Scholar
  • 6 Zhang H, Zhuang H, Yu H. et al. A new Z-epicanthoplasty and a concomitant double eyelidplasty in Chinese eyelids. Plast Reconstr Surg 2006; 118 (04) 900-907
    CrossrefPubMedGoogle Scholar
  • 7 Park JW, Hwang K. Anatomy and histology of an epicanthal fold. J Craniofac Surg 2016; 27 (04) 1101-1103
    CrossrefPubMedGoogle Scholar
  • 8 Lee SY, Jang JW, Lew Helen, Kim CY. Blepharoptosis. 1st ed. Seoul, Korea: Koonja; 2018: 202-210
    Google Scholar
  • 9 Kao YS, Lin CH, Fang RH. Epicanthoplasty with modified Y-V advancement procedure. Plast Reconstr Surg 1998; 102 (06) 1835-1841
    CrossrefPubMedGoogle Scholar
  • 10 Mulliken JB, Hoopes JE. W-epicanthoplasty. Plast Reconstr Surg 1975; 55 (04) 435-438
    CrossrefPubMedGoogle Scholar
  • 11 Oh YW, Seul CH, Yoo WM. Medial epicanthoplasty using the skin redraping method. Plast Reconstr Surg 2007; 119 (02) 703-710
    CrossrefPubMedGoogle Scholar
  • 12 Mustarde JC. Epicanthus and telecanthus. Br J Plast Surg 1963; 16: 346-356
    CrossrefPubMedGoogle Scholar
  • 13 Yoo WM, Park SH, Kwag DR. Root z-epicanthoplasty in Asian eyelids. Plast Reconstr Surg 2002; 109 (06) 2067-2071 , discussion 2072–2073
    CrossrefPubMedGoogle Scholar
  • 14 Li FC, Ma LH. Double eyelid blepharoplasty incorporating epicanthoplasty using Y-V advancement procedure. J Plast Reconstr Aesthet Surg 2008; 61 (08) 901-905
    CrossrefPubMedGoogle Scholar
  • 15 Lai CS, Lai CH, Wu YC, Chang KP, Lee SS, Lin SD. Medial epicanthoplasty based on anatomic variations. J Plast Reconstr Aesthet Surg 2012; 65 (09) 1182-1187
    CrossrefPubMedGoogle Scholar
  • 16 Park DH, Park SU, Lee BK. et al. Medial epicanthoplasty without a vertical scar. Ann Plast Surg 2014; 73 (01) 8-11
    CrossrefPubMedGoogle Scholar
  • 17 Kwon BS, Kong JS, Kim YW, Kang SR. Corrective epicanthoplasty in patients with unnatural results of prior epicanthoplasty: rearrangement of the orbicularis oculi muscle above the medial canthal tendon. Ann Plast Surg 2014; 73 (01) 12-15
    CrossrefPubMedGoogle Scholar