Reconstruction of Medial Epicanthal Fold Using Dual-Plane V-Y Advancement Flap.

IF 2 3区医学 Q2 SURGERY

Aesthetic Plastic Surgery Pub Date : 2025-04-02 DOI:10.1007/s00266-025-04840-w

Lianji Xu, Heng Wang, Tao Ma, Edward I Lee, Tae Joo Ahn, Seung Han Song, Zhenjun Wang

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引用次数: 0

Abstract

Background: Medial epicanthoplasty is a common method for correcting epicanthal folds in Asians but can lead to many complications. There are a number of techniques currently used for correction of these complications, but they often lead to incomplete correction or exacerbate the issue.

Purpose: The purpose of this study is to introduce a dual-plane V-Y advancement flap method for the reconstruction of epicanthal folds that addresses both muscle reconstruction and soft tissue redraping, which we believe is key to a successful outcome, that is easy to perform, has a short learning curve, and provides excellent aesthetic results.

Methods: The study included 66 patients who experienced complications after medial canthoplasty and underwent correction using our method from January 2017 to December 2018. Patients were surveyed to assess their satisfaction with surgical outcomes. In addition, the interepicanthal distance-lengthening ratios and symmetry of palpebral widths were compared to obtain a more objective comparison before and after the corrective procedure.

Results: The dual-plane method led to a statistically significant increase in the intercanthal distance between the medial canthi postoperatively. Improvements were noted in the exposure of the lacrimal caruncle and the appearance of the medial eyelid scar, and patients were overall satisfied with their outcomes. During an average follow-up of 10.8 months, three cases required secondary enlargement due to asymmetry.

Conclusion: The dual-plane method offers a promising solution for patients seeking correction of complications from previous medial canthoplasty, emphasizing the importance of muscle reconstruction alongside skin redraping for optimal aesthetic and functional outcomes.

Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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来源期刊

Aesthetic Plastic Surgery 医学-外科

CiteScore

4.40

自引率

25.00%

发文量

479

审稿时长

3 months

期刊介绍： Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP). Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships. Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.