Epicanthoplasty with double eyelidplasty incorporating modified Z-plasty for Chinese patients.
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.
Lu
Jian-jian
JJ
Cranio-Maxillo-facial Surgery Department 2, Plastic Surgery Hospital of Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, PR China.
Yang
Kai
K
Jin
Xiao-lei
XL
Xu
Jia-jie
JJ
Zhang
Chao
C
Zhang
Bo
B
Teng
Li
L
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