title: Epicanthoplasty with double eyelidplasty incorporating modified Z-plasty for Chinese patients.
abstract: BACKGROUND
  Blepharoplasty, without correction of the epicanthal folds, weakens the aesthetic appearance of the results. Hence, a modified Z-plasty procedure with double eyelidplasty was carried out for different degrees of epicanthus.
  
  
  METHODS
  From 2005 to 2010, the authors performed epicanthoplasties using the modified Z-plasty and double eyelidplasty for 322 Chinese patients. The conventional double eyelidplasty incisions were made with conterminous modified 'Z' formation on the medial canthus as well as cutting off the malpositioned superficial head of preseptal musculus orbicularis oculi.
  
  
  RESULTS
  Epicanthoplasty, using this technique, showed good results in most cases. There were no recurrences of the epicanthal fold and the scars were inconspicuous.
  
  
  CONCLUSIONS
  The modified 'Z' plasty is indicated for all types and degrees of medial epicanthi, except epicanthus inversus. The easy design and operation, and the excellent and reproducible results satisfy both the plastic surgeons and the Chinese patients.
authors.affiliation: Cranio-Maxillo-facial Surgery Department 2, Plastic Surgery Hospital of Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, PR China.
authors.forename: Jian-jian
authors.initials: JJ
authors.lastname: Lu
authors.forename: Kai
authors.initials: K
authors.lastname: Yang
authors.forename: Xiao-lei
authors.initials: XL
authors.lastname: Jin
authors.forename: Jia-jie
authors.initials: JJ
authors.lastname: Xu
authors.forename: Chao
authors.initials: C
authors.lastname: Zhang
authors.forename: Bo
authors.initials: B
authors.lastname: Zhang
authors.forename: Li
authors.initials: L
authors.lastname: Teng
mesh_terms: D000293:Adolescent; D000328:Adult; D044466:Asian People; D019882:Blepharoplasty / Q000379:methods*; D002681:China; D005143:Eyelids / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D013524:Surgical Flaps; D055815:Young Adult