Inverted ‘V–Y’ advancement medial epicanthoplasty

SummaryThe presence of an epicanthal fold is a distinctive anatomic feature of the Asian population. Epicanthoplasty can be very helpful in resolving the above problematic anatomy and may produce a more aesthetic appearance. The goal of this report is to describe a modification in the traditional operative methods related to medial epicanthoplasty, to minimise scar appearance and maximise normal appearance. An inverse triangular flap of skin is based on the semilunar skin, which is elevated and retracted within the line of the normal eyelid. The design of four key points is crucial to this epicanthoplasty. A total of 62 patients were performed with this method; 42 of this group underwent simultaneous double-eyelid plasty. Most of the patients obtained satisfactory results aesthetically followed from 6 months to 4 years postoperation. There was no recurrence of the epicanthal fold. As many as 38 patients were followed by interview and photographs were taken at the same time. The rest of the patients were followed up through telephone. No patients complained about visible scarring in the epicanthal area. As many as 60 patients obtained satisfactory results aesthetically, two patients complained about the median canthal asymmetry. The result indicates the reliability and feasibility of epicanthoplasty.