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

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dc.contributor.author노태석-
dc.contributor.author유대현-
dc.contributor.author정복기-
dc.date.accessioned2022-02-23T01:03:05Z-
dc.date.available2022-02-23T01:03:05Z-
dc.date.issued2021-11-
dc.identifier.issn1748-6815-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/187515-
dc.description.abstractBackground: 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.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier-
dc.relation.isPartOfJOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHAsians*-
dc.subject.MESHBlepharoplasty / methods*-
dc.subject.MESHEsthetics-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHLacrimal Apparatus / surgery*-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHSurgical Flaps*-
dc.subject.MESHYoung Adult-
dc.titleA 45-degree Upward Tension-Releasing Epicanthoplasty Performed in 712 Consecutive Cases-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Plastic and Reconstructive Surgery (성형외과학교실)-
dc.contributor.googleauthorSang Eun Park-
dc.contributor.googleauthorBong Kyoon Choi-
dc.contributor.googleauthorTai Suk Roh-
dc.contributor.googleauthorDae Hyun Lew-
dc.contributor.googleauthorBok Ki Jung-
dc.identifier.doi10.1016/j.bjps.2021.03.116-
dc.contributor.localIdA01297-
dc.contributor.localIdA02459-
dc.contributor.localIdA04665-
dc.relation.journalcodeJ01714-
dc.identifier.eissn1878-0539-
dc.identifier.pmid34049838-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S1748681521002205?via%3Dihub-
dc.subject.keywordEpicanthoplasty-
dc.subject.keywordMedial epicanthus-
dc.contributor.alternativeNameRoh, Tai Suk-
dc.contributor.affiliatedAuthor노태석-
dc.contributor.affiliatedAuthor유대현-
dc.contributor.affiliatedAuthor정복기-
dc.citation.volume74-
dc.citation.number11-
dc.citation.startPage3101-
dc.citation.endPage3107-
dc.identifier.bibliographicCitationJOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, Vol.74(11) : 3101-3107, 2021-11-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers

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