title: Scarless Epicanthoplasty and Concomitant Double Eyelidplasty in Chinese Eyelids.
abstract: BACKGROUND
  The presence of mild or moderate medial epicanthus is typical in Asian patients. Numerous epicanthoplasty techniques have been described previously. However, these methods usually leave obvious scars in the medial canthal area. The aim of this report is to introduce a novel epicanthoplasty technique and a concomitant double eyelidplasty which avoid leaving scars in the medial canthal region.
  
  
  METHODS
  From July 2013 to July 2015, 252 patients received epicanthoplasty and concomitant double eyelidplasty with this new technique. The medial epicanthus was corrected through the medial end of the eyelid crease incision. One hundred eighteen of these patients were followed up for 3-24 months (8 months in average). The preoperative and postoperative interepicanthal distances were measured at pre, 3 and 6 months post-operation. The aesthetic results were evaluated with patient visual analog scale (VAS) scores.
  
  
  RESULTS
  The average intercanthal distance significantly decreased 3 months after the operation (32.7 ± 2.3 mm vs 36.5 ± 2.6 mm, p < 0.05, paired t test). Little retraction was noticed at 6 months after the operation (33.0 ± 2.4 vs 32.7 ± 2.3 mm, p < 0.05, paired t test). The mean patient VAS score associated with satisfaction of overall outcome was 4.2 at 6 months after operation (range 2.5-5.0).
  
  
  CONCLUSIONS
  This new method provides an effective way to correct the medial epicanthus without leaving any scar in the medial canthal region. Patients with mild to moderate medial epicanthus are good candidates for this procedure.
  
  
  METHODS
  This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
authors.affiliation: Center of Plastic and Aesthetic Surgery, The First Hospital Affiliated Harbin Medical University, No. 143 Yiman Street, Nangang, Harbin, People's Republic of China.
authors.forename: Fufang
authors.initials: F
authors.lastname: Ni
authors.affiliation: Center of Plastic and Aesthetic Surgery, The First Hospital Affiliated Harbin Medical University, No. 143 Yiman Street, Nangang, Harbin, People's Republic of China.
authors.forename: Sai
authors.initials: S
authors.lastname: Luo
authors.affiliation: Center of Plastic and Aesthetic Surgery, The First Hospital Affiliated Harbin Medical University, No. 143 Yiman Street, Nangang, Harbin, People's Republic of China.
authors.forename: Dongmei
authors.initials: D
authors.lastname: Yu
authors.affiliation: Center of Plastic and Aesthetic Surgery, The First Hospital Affiliated Harbin Medical University, No. 143 Yiman Street, Nangang, Harbin, People's Republic of China.
authors.forename: Yangdong
authors.initials: Y
authors.lastname: Zhu
authors.affiliation: Center of Plastic and Aesthetic Surgery, The First Hospital Affiliated Harbin Medical University, No. 143 Yiman Street, Nangang, Harbin, People's Republic of China.
authors.forename: Yong
authors.initials: Y
authors.lastname: Shang
authors.affiliation: Center of Plastic and Aesthetic Surgery, The First Hospital Affiliated Harbin Medical University, No. 143 Yiman Street, Nangang, Harbin, People's Republic of China.
authors.forename: Yida
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Center of Plastic and Aesthetic Surgery, The First Hospital Affiliated Harbin Medical University, No. 143 Yiman Street, Nangang, Harbin, People's Republic of China.
authors.forename: Haiqian
authors.initials: H
authors.lastname: Xu
authors.affiliation: Center of Plastic and Aesthetic Surgery, The First Hospital Affiliated Harbin Medical University, No. 143 Yiman Street, Nangang, Harbin, People's Republic of China.
authors.forename: Qing
authors.initials: Q
authors.lastname: Wang
authors.affiliation: Center of Plastic and Aesthetic Surgery, The First Hospital Affiliated Harbin Medical University, No. 143 Yiman Street, Nangang, Harbin, People's Republic of China. haolijundoctor@163.com.
authors.forename: Lijun
authors.initials: L
authors.lastname: Hao
mesh_terms: D000293:Adolescent; D000328:Adult; D044466:Asian People / Q000706:statistics & numerical data*; D019882:Blepharoplasty / Q000379:methods*; D002921:Cicatrix / Q000517:prevention & control; D015331:Cohort Studies; D003131:Combined Modality Therapy; D004954:Esthetics; D005143:Eyelids / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007765:Lacrimal Apparatus / Q000601:surgery*; D008297:Male; D061646:Operative Time; D010147:Pain Measurement; D010149:Postoperative Pain / Q000503:physiopathology; D012189:Retrospective Studies; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult
keywords: Chinese eyelids; Double eyelidplasty; Scarless epicanthoplasty