0 97

Cited 0 times in

A 45-degree Upward Tension-Releasing Epicanthoplasty Performed in 712 Consecutive Cases

Authors
 Sang Eun Park  ;  Bong Kyoon Choi  ;  Tai Suk Roh  ;  Dae Hyun Lew  ;  Bok Ki Jung 
Citation
 JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, Vol.74(11) : 3101-3107, 2021-11 
Journal Title
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
ISSN
 1748-6815 
Issue Date
2021-11
MeSH
Asians* ; Blepharoplasty / methods* ; Esthetics ; Female ; Humans ; Lacrimal Apparatus / surgery* ; Republic of Korea ; Surgical Flaps* ; Young Adult
Keywords
Epicanthoplasty ; Medial epicanthus
Abstract
Background: Medial epicanthoplasty is commonly used to enhance the aesthetic outcomes of double-eyelid operations in Asia. However, epicanthoplasty can cause problems such as scarring and excessive exposure of the lacrimal lakes.

Objectives: To resolve the problems associated with epicanthoplasty and to create more natural and long-lasting double-eyelid fold lines while minimizing incisions, we performed a 45-degree upward tension-releasing epicanthoplasty.

Materials and methods: A total of 712 patients underwent 45-degree upward tension-releasing epicanthoplasty, with or without double eyelidplasty. A triangular skin flap was elevated at a 45-degree angle from the epicanthal fold. The surrounding area was dissected to eliminate the rigid connective tissue between the orbicularis muscle and the skin, which creates skin tension. The incisions were sutured, and a small incision toward the medial canthus was added to further decrease tension and create space for the triangular flap to be transposed.

Results: A total of 707 patients underwent 45-degree upward tension-releasing epicanthoplasty with the double-eyelid procedure, and 5 patients underwent 45-degree upward tension-releasing epicanthoplasty alone. No complications were observed for any patients, and 95% of patients were satisfied with this technique.

Conclusions: The 45-degree upward tension-releasing epicanthoplasty can release the tension in the epicanthal fold, minimize scarring, and control lacrimal lake exposure. In particular, this method was effective for creating an in-out double-fold line starting from the epicanthus and for maintaining the double-eyelid line, which can reduce unnecessary incisional double-eyelid surgery.
Full Text
https://www.sciencedirect.com/science/article/pii/S1748681521002205?via%3Dihub
DOI
10.1016/j.bjps.2021.03.116
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Roh, Tai Suk(노태석) ORCID logo https://orcid.org/0000-0001-8681-159X
Lew, Dae Hyun(유대현)
Jung, Bok Ki(정복기) ORCID logo https://orcid.org/0000-0002-4347-560X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/187515
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links