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Medial epicanthoplasty using the skin redraping method

Authors
 Yeon Woong Oh  ;  Chul Hwan Seul  ;  Won Min Yoo 
Citation
 PLASTIC AND RECONSTRUCTIVE SURGERY, Vol.119(2) : 703-710, 2007 
Journal Title
 PLASTIC AND RECONSTRUCTIVE SURGERY 
ISSN
 0032-1052 
Issue Date
2007
Abstract
BACKGROUND: The presence of epicanthal folds and the absence of supratarsal folds are unique features in the eyelids of Asians. The resulting appearance leads many to seek cosmetic improvement in the medial canthal area. Although many techniques have been described for the elimination of epicanthal folds, scarring and design complexity are barriers that must still be overcome by surgeons. METHODS: From December of 2002 to December of 2004, the authors performed medial epicanthoplasties using the skin redraping method (tension-free epicanthoplasty) to correct epicanthal folds in the eyelids of 215 Asian patients. The authors' method is very simple to design and easy to perform. The procedure requires only the elevation of skin, eliminating volume of muscle, and trimming of skin. Other ancillary procedures, such as flap design, anchoring, plication, or subdermal fixation, are not required. RESULTS: Most of the patients obtained satisfactory results. No patients complained about visible scarring and none required revision surgery. Scarring can be avoided on the noticeable medial canthal region because the only incisions needed are supratarsal and subciliary incisions. The ability to avoid tension resulting from skin redraping is another important factor contributing to the minimization of scarring. CONCLUSIONS: The skin redraping method is simple to design and easy to perform. It does not create tension or visible scars on the medial canthal region.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006534-200702000-00035&LSLINK=80&D=ovft
DOI
10.1097/01.prs.0000246713.59153.bb
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Seul, Chul Hwan(설철환)
Yoo, Won Min(유원민)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/97306
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