Skin Z-plasty for the correction of epicanthal folds in Asians: a review of techniques and advances
10.3760/cma.j.cn114453-20231031-00167
- VernacularTitle:以皮肤Z成形术为基础矫正亚洲人内眦赘皮的方法及其研究进展
- Author:
Yingnan ZHAO
1
;
Di WANG
1
;
Wen CHEN
1
Author Information
1. 中国医学科学院北京协和医学院整形外科医院面颈整形科，北京 100144
- Publication Type:Journal Article
- Keywords:
Blepharoplasty;
Epicanthal fold;
Epicanthoplasty;
Surgical flaps;
Z-plasty
- From:
Chinese Journal of Plastic Surgery
2025;41(5):543-548
- CountryChina
- Language:Chinese
-
Abstract:
The incidence of epicanthal folds is high in the Asian population, and aesthetic correction surgery is currently the most effective method for improving appearance. Common techniques include flap transposition, flap advancement, and skin reposition, with the Z-plasty-based approach as the most widely adopted method. This article begins by classifying and grading epicanthal folds and provides a systematic review of the development and evolution of Z-plasty-based techniques. It highlights advancements in surgical design, flap design, and tension-release strategies that have emerged from an improved understanding of the anatomical features and formation mechanisms of epicanthal folds. The aim is to provide a theoretical foundation and practical reference for the ongoing optimization and future advancement of surgical techniques in this field.
