Effects of classic and improved skin reset methods in correcting epicanthus
10.3760/cma.j.cn114657-20250115-00019
- VernacularTitle:经典皮肤重置法与改良皮肤重置法矫正内眦赘皮的效果分析
- Author:
Jingjing NIE
1
;
Jiuzuo HUANG
;
Ziwei CUI
Author Information
1. 黑龙江省大庆市大庆油田总医院医学美容科，大庆 163000
- Publication Type:Journal Article
- Keywords:
Epicanthus;
Interpupil distance;
Distance between inner canthus;
Classical skin replacement method;
Modified skin replacement method
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2025;31(3):283-286
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the effects of the classic skin reset method and the modified skin reset method in correcting epicanthus.Methods:A retrospective study was conducted on 61 patients who underwent epicanthoplasty at Daqing Oilfield General Hospital from September 2019 to September 2021. Among them, 54 were female and 7 were male, with ages of 18-47 (25.7±4.6) years. The patients were divided into two groups based on different surgical methods: the classic skin repositioning method (control group, 30 cases) and the modified skin repositioning method (experimental group, 31 cases). Postoperative follow-up was conducted for 6 to 24 months. Photos were taken before the operation and during the follow-up period after the operation, and the inter-pupillary distance (IPD) and intercanthal distance (IED) were measured. For patients who underwent double eyelid surgery simultaneously, the proportion of postoperative outward rotation type effect was compared between the two groups. The incidence of adverse reactions such as visible scars, hypertrophic scars, overcorrection, and under-correction after the operation was recorded.Results:The preoperative and postoperative IED/IPD ratios were 0.63±0.02 and 0.56±0.03 in control group, and 0.64±0.02 and 0.56±0.02 in experimental group, respectively. There was no significant difference in IED/IPD ratio between the two groups before and after surgery (all P>0.05). By intra-group comparison, postoperative IED/IPD ratios were lower in both groups than that before surgery. In the experimental group, 83.9% (26/31) of patients underwent double blepharoplasty, which was higher than that in the control group (16.7%, 5/30) ( P<0.001). In the control group, the incidence of adverse reactions was 33.3% (10/30), including 4 cases of mild under-correction and 6 cases of lower eyelid scar. There was no correction deficiency and no visible scar in the experimental group. No overcorrection, hypertrophic scar and other complications were found in both groups. Conclusion:The modified skin replacement method is effective and can prevent the deficiency of epicanthus correction.
