Periciliary Y-V epicanthoplasty

Annals of Plastic Surgery
Young-Joon LeeJin-Hyo Lee

Abstract

The epicanthal fold is a semilunar flap of eyelid skin on the medial aspect of the eye. Many surgical techniques have been described to eliminate the epicanthal fold, which is a feature uniquely predominant among the Asian population. However, many surgeons avoid epicanthoplasty because of the fear of visible scar formation. From January of 2002 to April of 2004, 118 patients with medial epicanthal folds underwent epicanthoplasty using a periciliary Y-V advancement procedure for the prevention of visible scar formation. The mean age of the patients was 25.2 years (range, 16 years to 56 years). The median follow-up period was 6 months (range, 2 weeks to 2 years). We performed periciliary Y-V epicanthoplasty only when a patient had wide interepicanthal distance (over 32 mm) or a completely eclipsed lacrimal caruncle. Most of the patients attained satisfactory results, and there were few complications in our cases. Scarring of the medial canthal area has not been a problem with this technique because we designed incisions along the eyelashes and skin-mucosal junctions. We have found that our periciliary Y-V epicanthoplasty is a very reliable and effective method for eliminating the epicanthal fold with minimal scar formation.

References

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Citations

May 25, 2011·Aesthetic Plastic Surgery·Yufeng LiuKe Wen
Mar 23, 2012·Aesthetic Plastic Surgery·XiaoJie HuYajin Qiu
Jul 20, 2012·Aesthetic Plastic Surgery·Seung Chul RheeBongsik Kwon
Jul 16, 2009·Current Opinion in Otolaryngology & Head and Neck Surgery·Joseph K Wong
Aug 6, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Liqiang LiuSuyun Feng
Jul 4, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·F C Li, L H Ma
Jul 15, 2015·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Danny Siu-Chun NgSimon Tak-Chuen Ko
Jan 18, 2014·Journal of Plastic Surgery and Hand Surgery·Jae Don SeoChan-Yeong Heo
Oct 23, 2019·Aesthetic Plastic Surgery·Zhe CaoXiao-Qin Liang
Sep 28, 2017·The Journal of Craniofacial Surgery·Jeenam KimHyungon Choi
Feb 15, 2013·Annals of Plastic Surgery·Tae-Gon KimJun-Ho Lee
May 3, 2013·Annals of Plastic Surgery·Dae Hwan ParkYong Jig Lee
May 19, 2016·The Journal of Craniofacial Surgery·Kun Hwang, Hun Kim
Oct 6, 2016·Aesthetic Plastic Surgery·Fufang NiLijun Hao
Apr 21, 2016·Current Opinion in Ophthalmology·Preamjit Saonanon
Jun 5, 2020·Korean Journal of Ophthalmology : KJO·Sun Kyoung ParkNa Young Lee
Jul 31, 2020·Aesthetic Plastic Surgery·Li-Ping Ouyang, Ning-Xin Cheng
Apr 4, 2018·Aesthetic Plastic Surgery·Yoon Jae ChungSoo Hyang Lee
Feb 16, 2021·The Journal of Craniofacial Surgery·Jing TongJie Yang

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