J Korean Soc Plast Reconstr Surg.
1998 Oct;25(7):1370-1374.
Simple, safe, and tension-free epicanthoplasty
Abstract
- There is more incidence of epicanthal fold in oriental and sometimes the epicanthal fold serves as an unacceptable appearence, so many seek cosmetic improvement in the medial canthal area to eliminate the epicanthal folds. Epicanthoplasty can give the aesthetic improvement by lenthening the palpebral fissure, thus producing the image of a larger and open-eye and especially it can enhance the aesthetic result of the double-lid procedure, but the epicanthal area is delicate and prone to produce a noticeable scar after epicanthoplasty, which is due to multiple incision and undue tension during the epicanthoplasty. We present a simple, tension free, and reproducible method of Z-epicanthoplasty based on our experience with 84 cases performed during the past 10 months in oriental eyelids. The advantages of this procedure are simplicity in design and minimal scaring produced in the medial canthal area without fear of hypertrophic scar as compared with complexed W-plasty, four flap, or Y-V plasty, which require multiple incision or undue tension and often creates unsightly scarring.
