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Purpose : The present report introduces a modified L-epicanthoplastic technique for patients with a single eyelid and epicanthus.
Methods : The modified L-epicanthoplastic technique includes the epicanthus corrective line extending along the double eyelid line, excess skin being transferred and the anterior branch of the inner canthal ligament being shortened. This novel technique was performed to correct the epicanthal folds of 29 patients in the Department of Ophthalmology.
Results : The results of a questionnaire survey indicated that all of the 29 patients were satisfied with their postoperative effect 24 months after surgery. The incision line at the inner canthus of 29 patients connected to the double eyelid line naturally without obvious signs of an incision trace remaining. The postoperative distance of the inner canthus was 29.55mm, which was significantly less than the preoperative distance. Twenty-seven(93.1%) cases of epicanthus were fully corrected with the inner canthus angles completely open to create a circular-arc shape with the lacrimal caruncle completely exposed.
Conclusion : The modified L-epicanthoplastic technique introduced here has advantages in naturally forming a double eyelid radians with a minimal scar and reducing the tension of the inner canthus to get a steady effect, which is an especially suitable approach for epicanthoplasty in Asian patients.
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