There are over 30 methods described for the correction of epicanthus. Some are more complicated than the others, however, the results of the complicated ones are by mean superior than the simpler ones. In addition, surgery on the inner canthal region is prone to skin contracture and scarring and therefore a method that combines the least number of cutting and cut near the lid margin is preferred.
Some of the epicanthoplasty described are shown below (from Asian Facial Cosmetic Surgery).
Blair method.
Converse method.
Arlt method.
Hiraga method.
Rogeman mthod.
V-W advancement method.
W-plasty method.
Y-V method.
Mustarde method.
Park Z-plasty method.
Correction of type IV epicanthal folds in blepharophimosis. The picture on the left
was done with Y-V method showing minimal scarring whereas the one shown on
the right was corrected with Mustarde method showing significant skin
contracture and scarring. Pictures taken from an article discussing
the various methods of epicanthoplasty.
My preferred methods for type II and type III epicanthal folds are Park-Z plasty and skin redraping methods. The later will be described in the next blog.
Type III epicanthal fold corrected with Park-Z epicanthoplasty.
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ReplyDeleteHello,
ReplyDelete1st. Whether parallel or tapering skin creases are very much up to the patient's preference. However, it is worth noting that it is difficult to reverse parallel creases but easier to convert tapering creases to parallel creases.
2nd. Epicanthoplasty is usually incooperated into the creation of parallel creases otherwise the creases may become tapering. For type II epicanthal folds, epicanthoplasty does not usually add much to the width of the eyes.
Hi Dr Chua! Thank you for your reply!
ReplyDeleteI was wondering what is your take on magic epicanthoplasty/devolution epicanthoplasty/Kwon's method? Is this the skin redraping method mentioned in the next post?
Thank you!
The techniques you mentioned are modifications of skin redraping techniques, a bit of extra cuts and there you can name the technique whichever way you want ;)
ReplyDeleteSo I want to turn my eyes into Caucasian eyes like one of the Japanese patients. Do you do that where do I go?
ReplyDeletethese techniques are so outdated and look terrible
ReplyDelete