Cosmetic lateral canthoplasty.
BACKGROUND
Although there are patients who want cosmetic lateral canthoplasty to lengthen the lateral palpebral fissure of the lateral canthal area, no recommendable operational procedure exists that results in an acceptable scar formation. Because of the round eyeball shape, lengthening and widening of the lateral palpebral fissure should not be in the lateral direction, but rather in the posterior direction to keep the surface between the bulbar conjunctiva and the palpebral conjunctiva in contact.


METHODS
The authors believed that using an upper crus flap of the upper eyelid margin as a transposition flap would enable lengthening of the lower eyelid width and posterior deepening of the lateral canthal area. This was thought possible by transverse back-cutting of the palpebral conjunctiva on the lateral fornix area.


RESULTS
The authors have performed cosmetic lateral canthoplasty in more than 200 cases to increase the width of the lateral palpebral fissure. All the results were satisfactory and aesthetically acceptable.


CONCLUSIONS
The reported surgery makes the eyes appear larger and brighter. The authors think this procedure is a good and convenient method although it is not perfect.
Shin
Yong Ho
YH
Department of Plastic Surgery, College of Medicine, Inha University, 7-206 Sinheung-ding, Jung-gu, 400-711 Seoul, Korea.
Hwang
Kun
K
D000293:Adolescent; D000328:Adult; D000368:Aged; D044466:Asian People; D019882:Blepharoplasty / Q000295:instrumentation / Q000379:methods*; D062109:Dermatologic Surgical Procedures; D005143:Eyelids / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D009132:Muscles / Q000601:surgery; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000706:statistics & numerical data*; D013536:Suture Techniques; D013997:Time Factors; D016896:Treatment Outcome