title: Lazy S-curve epicanthoplasty in Asian blepharoplasty.
abstract: BACKGROUND
  Ethnic characteristics of the Asian upper eyelid include the lack of a superior palpebral fold, excessive fat, laxity of pretarsal skin, and a medial epicanthal fold. We present the lazy S-curve epicanthoplasty for correction of the medial epicanthal fold.
  
  
  METHODS
  The lazy S-curve incision was made as an entrance step. Then the connective and orbicularis oculi muscle dense fibers underlying the epicanthal folds were released and shifted. To reduce the tension of the new medial canthus, we anchored the canthus by suture fixation of both the subdermal and medial orbital periosteum. Rotation of the S-curve flap was settled as the last step.
  
  
  RESULTS
  From December 2005 to December 2009, the authors corrected the epicanthal folds on the eyelids of 156 Asian patients using the lazy S-curve epicanthoplasty. Results were satisfactory in most of the follow-up cases.
  
  
  CONCLUSIONS
  Lazy S-curve epicanthoplasty is a reliable and effective method to eliminate not only the epicanthal fold but also the undesirable orbicularis oculi muscle.
authors.affiliation: Department of Plastic Surgery, Shanghai Fuhua Plastic and Aesthetic Hospital, Shanghai, People's Republic of China.
authors.forename: Yulan
authors.initials: Y
authors.lastname: Liu
authors.forename: Ming
authors.initials: M
authors.lastname: Lei
authors.forename: Yimin
authors.initials: Y
authors.lastname: Wang
authors.forename: Xiongzheng
authors.initials: X
authors.lastname: Mu
mesh_terms: D000328:Adult; D044466:Asian People; D019882:Blepharoplasty / Q000379:methods*; D005123:Eye / Q000033:anatomy & histology; D005152:Facial Muscles / Q000601:surgery; D005260:Female; D006801:Humans; D008022:Ligaments / Q000601:surgery; D008297:Male; D013536:Suture Techniques; D055815:Young Adult