Decreasing scar formation with subcilliary incision in medial epicanthoplasty

VernacularTitle:下睑缘横置切口矫正内眦赘皮的术式探讨
Author: Weina ZHANG ; Zhenyu CHEN ; Kaiping MAO ; Jizhen REN ; Yuehua ZHU
Publication Type:Journal Article
Keywords: Epicanthal fold; Epicanthoplasty
From: Chinese Journal of Medical Aesthetics and Cosmetology 2009;15(3):164-166
CountryChina
Language:Chinese
Abstract: Objective To discuss a simple and effective method of medial epicanthoplasty with the subcilliary incision, which can decrease the visible scar. Methods From January of 2007 to De-cember of 2008, 38 patients with epicanthal fold underwent epicanthoplasty using the new method. During the operation a skin incision was subcilliarily made outward from the original medial epican-thus. After elevating the flap and excising the orbicularis oculi muscle beneath the epieanthal fold, the new medial epicanthus was sutured to the designed point. Then subciliary incision was trimmed and sutured. Results Most of the patients obtained satisfactory results. Only one patient complained a-bout visible scarring and none required revision surgery. Scarring was avoided on the noticeable medial canthal region because the only incisions needed were subciliary incisions. Conclusions This method is simple to design and easy to perform. The operative results are effective without visible scars on the medial canthal region.