Application of modified minimally-invasive transverse-vertical epicanthoplasty in double-eyelid plastic with three points at the same period

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Author:
ZHANG Zheng(Department of Plastic and Cosmetic Surgery,the Central Hospital of Zibo ,Zibo , Shandong 255036, China)
ZHANG Ru-min(Department of Plastic and Cosmetic Surgery,the Central Hospital of Zibo ,Zibo , Shandong 255036, China)
Journal Title:
Chinese Journal of Primary Medicine and Pharmacy
Issue:
Volume 19, Issue 10, 2012
DOI:
10.3760/cma.j.issn.1008-6706.2012.10.004
Key Word:
Epicanthoplasty;Double-eyelid plasty;Epicanthus

Abstract: Objective To assess the effect of modified minimally-invasive transverse-vertical epicanthoplasty in double-eyelid plastic with three points at the same period.Methods 87 cases with mild or moderate epicanthus and oriental eyelid were involved in our research.Epicanthoplasty was performed based on the principle of transversevertical plasty.The curvilinear incision of epicanthoplasty was made between the desired point of the new medial canthus and 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 plastic with three points was performed as usual,however,the incision of eyelid plastic was connected with the incision of epicanthoplasty by skin tunnel in which a strip of orbicularis oculi muscle was excised.Results 87 cases were followed-up for 3 to 24 months.The cosmetic results of the new medial canthi were satisfactory with new figure and inconspicuous scar.The contours of the double eyelids were natural.No incisional scar presented between the medial canthi and the upper eyelids.No recurrence of epicanthus was observed.Conclusion The modified mini-incisional transverse-vertical epicanthoplasty together with double-eyelid plastic with three points is a simple and effective feasible surgical approach for correction of epicanthus and oriental eyelid.

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