Telecanthus, which is the lateral displacement of the medial canthus, can be a congenital deformity or can occur after facial trauma. Several epicanthoplasty methods have been described, but the orbitonasal angle and appropriate shape cannot be reconstructed in Asians. We solved this problem by using a dog-ear effect. This article describes a new design for epicanthoplasty and its results.
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Figure 1. The geometric scheme of the surgical skin incision design and resulting scar.
Figure 2. A 4-year-old boy with mild hypertelorism. A, Preoperative appearance. B, Preoperative design on the skin. C, Postoperative appearance. D, One year after the operation. Note that the horizontal length of the eyelid is wider postoperatively and that the patient's hypertelorism improved.
Figure 3. A 41-year-old woman with mild hypertelorism. A, Preoperative appearance. B, Two years after the operation. Note that the horizontal length of the eyelid is wider postoperatively and that the patient's hypertelorism improved.
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