| Recent Literature on Epicanthoplasty (in English) | |||
|---|---|---|---|
| Author | S Ma | Y Lee, E Lee et al. | SD Lin |
| Year | 1996 | 2000 | 2000 |
| Journal | Zhonghua Yan Ke Za Zhi 32(3):194–196 Epicanthoplasty during double-fold eyelid operation PMID: 9590860 | Plast Reconstr Surg 105(5):1872–1880 Anchor epicanthoplasty combined with out-fold type double eyelidplasty for Asians: do we have to make an additional scar to correct the Asian epicanthal fold? PMID: 10809119 | Br J Plast Surg 53(2):95–99 Correction of the epicanthal fold using the VM-plasty PMID: 10878829 |
| Country | PR China | Korea | RO China, Taiwan |
| Skin incision | Various epicanthoplasty performed in 183 cases | Anchor epicanthoplasty, used for out-fold crease (parallel crease shape), anchoring medial end of incision to deep tissue | VM-plasty with three V-flaps |
| Remove: | |||
| Skin | 38 cases (shuttle form), 120 (cuneiform), Z-plasty in 25 cases | Trimming skin | |
| Orbicularis | And soft tissue under medial fold | ||
| Orbital septum | |||
| Preaponeurotic fat | |||
| Crease form | Parallel crease | Outer (parallel) | |
| Effectiveness | 183 cases, performed together with double-eyelid procedures | 67 cases; 28 cases followed. Disadvantages include technical difficulty and chance for active bleeding as stated by authors. Blends into medial end of parallel crease | Used alone in 8 cases, with double-eyelid procedure in 51 young patients, and with upper blepharoplasty and crease procedure in 26 cases |
| Comments | Three techniques depending on severity | This technique is based on the concept of trimming of muscle and soft tissue under the Asian epicanthal fold and downward medial advancement and anchoring of the medial canthal skin to the deep tissue. Avoids incision over medial canthal skin (medial to the medial canthal angle) | Redness of incisions was common but all faded away within 2–3 mth |
| Recent Literature on Epicanthoplasty (in English) | |||
|---|---|---|---|
| Author | Y Yang, HM Zhang et al. | H Zhang, H Zhuang et al. | SK Yi, HW Paik et al. |
| Year | 2006 | 2006 | 2007 |
| Journal | Zhonghua Zheng Xing Wai Ke Za Zhi 22(2):130–132 [A new method for medial canthoplasty combined double eyelid formation] (article in Chinese) PMID: 16736618 | Plast Reconstr Surg 118(4):900–907 A new Z-epicanthoplasty and a concomitant double eyelidplasty in Chinese eyelids PMID: 16980849 | Aesthet Plast Surg 31(4):350–353 Simple epicanthoplasty with minimal scar PMID: 17486401 |
| Country | PR China | PR China | Korea |
| Skin incision | Performed with double-eyelid procedure | Z-epicanthoplasty | |
| Remove: | |||
| Skin | |||
| Orbicularis | |||
| Orbital septum | |||
| Preaponeurotic fat | |||
| Crease form | |||
| Effectiveness | 86 cases; 67 cases followed up. Designed for parallel shape crease | 230 cases together with double-eyelid procedure, included congenital and traumatic medial epicanthi. Followed 67 cases. Stated that it is suitable for all types except epicanthus inversus | 52 cases, 2 showed a depressed scar on the lower lid |
| Comments | Suitable for mild to moderate epicanthal folds, all except epicanthus inversus | Mild scar in early postop period, then fade into gray–white line | |
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