Medial Epicanthoplasty By Using The Palpebral Margin Incision Method

Objective According the anatomical factors of epicanthus, to design a new epicanthoplasty , In order to improve the effect of double-eyelidplasty, and to conquer the abuse of scar and recrudescence. Method To statistic analyse the rate of anatomy sorts what patients did epicanthoplasty from 2005—2009. To design a new epicanthoplasty when we did double-eyelidplasty. First, through upper and lower palpebral margin incisions, thoroughly released and excised the connective and orbicularis oculi muscle dense fibers underlying epicanthal folds as well as the superficial head of medial canthal ligament. Second, repositionning the medial canthus in double eyelidplastic procedure, cut off the redundant skin tissue and closed the incisions. Results 122 epicanthoplasties had been performed during the past 4 years. We observed the position relation of epicanthic ligament and eyemuscle and recorded it according to the anatomic sorts in the operation. Then we did three sorts totally, one is upper tarsi type [UTT]54%, other is tarsi type [TT]42%, another is reverse tarsi type [RTT] 4%, no eye-brown type. Follow-up time ranged from 3 to 12 months. Postsugery scars were invisible in all cases. All patients were satisfied with operation results. No recurrence of epicanthal fold was observed. Conclusion The introduced method has advantages in avoiding scar formation and is especially a suitable approach for epicanthoplasty in Asian patients.