title: Cascading epicanthal skin resection and aesthetic reconstruction.
abstract: BACKGROUND
  Drooping, cascading epicanthal skin is a common phenomenon in the elderly, but its surgical removal and reconstruction has not been documented.
  
  
  OBJECTIVE
  A surgical technique is described to quickly and efficiently remove excessively drooping epicanthal tissue and to reconstruct an aesthetically pleasing lateral nose to epicanthal area.
  
  
  METHODS
  Photographs of a woman with severe involvement are utilized to portray the surgical methodology.
  
  
  RESULTS
  Reconstruction of an acceptable lateral nose to epicanthal concavity was easily and safely accomplished.
  
  
  CONCLUSIONS
  Excessive lateral nose and epicanthal skin can be removed and the area reconstructed by the described technique using local anesthesia in a simple operation.
authors.affiliation: Dermatologic Surgery, University of California, San Francisco, Stanford University School of Medicine, San Francisco, California, USA. lmfieldmd@aol.com
authors.forename: L M
authors.initials: LM
authors.lastname: Field
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D009666:Nose; D012225:Rhinoplasty / Q000379:methods; D015595:Skin Aging / Q000473:pathology*