title: Medial epicanthoplasty using the palpebral margin incision method.
abstract: BACKGROUND
  Epicanthal deformity is one of the most frequently encountered cosmetic problems in Asian people. Herein, we introduce a new method for correction of epicanthal folds, which always is performed in combination with double eyelidplasty.
  
  
  METHODS
  First, through upper and lower palpebral margin incisions, we release and excise the connective and orbicularis oculi muscle dense fibres underlying the epicanthal folds, as well as the superficial head of the medial canthal ligament. After repositioning the medial canthus in a double eyelidplastic procedure, we cut off the redundant skin tissue and close the incisions.
  
  
  RESULTS
  82 epicanthoplasties have been performed during the past 2 years. Follow-up time ranged from 1 to 32 months. Postsurgery scars were invisible in all cases. All patients were satisfied with the results. No recurrence of the epicanthal fold was observed.
  
  
  CONCLUSIONS
  The new method introduced has advantages in avoiding scar formation and is an especially suitable approach for epicanthoplasty in Asian patients.
authors.affiliation: Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. chenwencw@163.com
authors.forename: Wen
authors.initials: W
authors.lastname: Chen
authors.forename: Shenkai
authors.initials: S
authors.lastname: Li
authors.forename: Yangqun
authors.initials: Y
authors.lastname: Li
authors.forename: Yining
authors.initials: Y
authors.lastname: Wang
mesh_terms: D000328:Adult; D044466:Asian People; D019882:Blepharoplasty / Q000009:adverse effects / Q000379:methods*; D002921:Cicatrix / Q000517:prevention & control; D004954:Esthetics; D005143:Eyelids / Q000002:abnormalities*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D055815:Young Adult