Modified Z-epicanthoplasty in the Asian eyelid.
OBJECTIVE
To propose a new technique for eliminating the medial epicanthal fold of the Asian upper eyelid.


METHODS
A retrospective review of the Z-epicanthoplasty and modified Z-epicanthoplasty procedures performed during 1995 through 1999.


METHODS
Facial plastic surgery private practice.


METHODS
Four hundred seventy-five Korean American patients from 9 midwestern states with type 2 or type 3 medial epicanthal folds.


CONCLUSIONS
The majority of the East Asian population has type 2 or 3 medial epicanthal folds. Most surgeons avoid epicanthoplasty because of the fear of visible scar formation. Modified Z-epicanthoplasty is a safe and effective technique for eliminating the epicanthal fold during double-eyelid operations. Scarring of the medial canthal area has not been a problem with this technique. Arch Facial Plast Surg. 2000;2:43-47
J I
JI
Park
D001213:Asian; D044466:Asian People; D019882:Blepharoplasty / Q000379:methods*; D006801:Humans; D007723:Korea / Q000208:ethnology; D012189:Retrospective Studies