Clinical effects of modified single Z-shaped asymmetric flap on correction of epicanthus combined with horizontal double eyelid surgery

Abstract

Objective To investigate the possibility and aesthetic results of plastic and cosmetic surgery incorporating the modified single z-type epicanthoplasty with the horizontal double-eyelid blepharoplasty. Methods A total of 150 patients with epicanthus fold and single eyelid were performed the horizontal double-eyelid blepharoplasty with single Z-shaped asymmetric flap method in one-stage procedure. Results After 3 to 12 months following up, three cases presented mild scar proliferation in epicanthal incision, and then with the swelling subsided and scar removal, the scars were gradually disappeared. All of other patients had no obvious scar after the surgery. Conclusions This is an effective combined surgical procedure. There is no obvious scar in endocanthion. This method could be widely used in clinic. Key words: Blepharoplasty; Epicanthal folds; Double-lid blepharoplasty; Single Z-shaped asymmetric flap plasty