A modified transverse-vertical epicanthoplasty with concurrent double eyelid plasty
10.3760/cma.j.issn.1671-0290.2011.01.003
- VernacularTitle:改良横切纵缝内眦赘皮矫正同期重睑成形术
- Author:
Xiaorong LIU
;
Kai LIU
- Publication Type:Journal Article
- Keywords:
Epicanthoplasty;
Double eyelid plasty;
Epicanthus
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2011;17(1):6-8
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the techniques of epicanthoplasty with concurrent double eyelid plasty. Methods Epicanthoplasty was performed based on the principle of transverse-vertical plasty. The curvilinear incision of epicanthoplasty was made from the desired point of the new medial canthus to the point 1 mm below the lower lacrimal point, the malpositioned orbicularis oculi muscle excised after skin undermining, the superficial head of the medial canthal tendon plicated or anchored to the lateral nasal aponeurosis and the incision closed after skin redraping. Double eyelid plasty was performed as usual, however, the incision of eyelidplasty was connected with the incision of epicanthoplasty by skin tunnel in which a strip of orbicularis oculi muscle was excised. Results From Oct. 2006 to Feb. 2009, 189 cases were treated. The follow-up period ranged from 3 to 24 months. The cosmetic results of the medial canthi were satisfactory with inconspicuous scar and no recurrence. The contours of the double eyelids were natural. No incisional scar presented between the medial canthi and the upper eyelids. Conclusion The modified transverse-vertical epicanthoplasty with concurrent double eyelidplasty is a simple and reliable surgical approach for correction of epicanthus and creation of supratarsal fold.
