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Surgical Technique | Jul/Aug 2010

Modified Y-V Epicanthoplasty With Raised Medial Canthus in the Asian Eyelid

Yue-Qiang Zhao, MD; Ding-An Luo, MD
Arch Facial Plast Surg. 2010;12(4):274-276. doi:10.1001/archfacial.2010.51.
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  To explore an epicanthoplasty with a good aesthetic effect and a small scar we designed a modified Y-V epicanthoplasty to raise and enlarge the medial canthus. From January 2006 to April 2009, 68 patients were treated with this method, using a simple procedure to eliminate the medial epicanthal fold of the upper eyelid. Scarring of the medial canthal area has not been a problem with this technique because we designed incisions along the eyelashes and the skin-mucosal junctions. By raising the point of the new medial canthus to a particular physiological position, the angle of medial canthus is enlarged to reveal the lacrimal lake. Our technique is a simple, graded procedure that leaves no visible scar.
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Figure 1.

Designing Y incisions along the eyelashes. See the “Methods” section. A, The upper incision can be coincident with the double-eyelid incision. AB = AC = AA′. B, Cutting off the redundant triangle flap (dog ear). C, Anchoring the medial canthus to periosteum of nasal side and suturing Y to V.

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Figure 2.

Marked lines. A, During surgery; B, immediately after the operation.

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Figure 3.

A patient who underwent modified Y-V epicanthoplasty. Preoperative (A) and postoperative (B) views.

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Figure 4.

A patient who underwent modified Y-V epicanthoplasty. A, Preoperative view; B, postoperative view (8 months later).

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