The Modified Z-Epicanthoplasty—A Stepwise and Individualized Design

Purpose: To describe a medial epicanthoplasty technique using a stepwise, customized design and to review the outcome in Asian patients after the treatment of medial epicanthal fold.
Design: Retrospective, noncomparative and interventional case series with the introduction of a new surgical technique.
Participants: Forty-eight consecutive Asian patients with primary medial epicanthal fold.
Methods: Patient charts were reviewed from patients (mean age, 24.6 ± 3.8 years; range, 19–40 years) with a stepwise z-epicanthoplasty. The intercanthal distance (ICD), interpupillary distance (IPD), and scar visibility were evaluated at regular intervals (preoperative, immediate postoperative, 3 months, 6 months, and 1 year after the operation). The ratio of the ICD to IPD (ICD ratio) was calculated, and the visibility of the surgical scar assessed.
Main Outcome Measures: Postoperative improvement in ICD ratio and scar quality.
Results: The preoperative median ICD ratio was 0.60 (range, 0.57–0.66) and decreased to 0.57 (range, 0.52–0.60) postoperatively. The median ICD ratio reduction was 5.6% (range, 2.6–14.1%; P

Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research