Revisional Medial Epicanthoplasty Using Reverse Z-Plasty Technique
| Autor: | Young Oh Park, Ung Sik Jin, Jeong Hyun Ha |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Blepharoplasty
Male medicine.medical_specialty Esthetics medicine.medical_treatment Common method 030230 surgery Z-plasty technique 03 medical and health sciences Epicanthoplasty Cicatrix 0302 clinical medicine Surveys and Questionnaires Medicine Humans In patient business.industry Soft tissue Eyelids General Medicine Surgery medicine.anatomical_structure Palpebral fissure 030220 oncology & carcinogenesis Epicanthal folds Ligament Female business |
| Zdroj: | Aesthetic surgery journal. 42(1) |
| ISSN: | 1527-330X |
| Popis: | Background Medial epicanthoplasty is a common method for correcting epicanthal folds in Asians but sometimes cause unsatisfactory results. Although several procedural variations have been devised, revision techniques have earned little attention. The revision technique the authors have developed employs reverse Z-plasty to restore an overcorrected epicanthal fold. Objectives The aim of this study was to investigate the effectiveness of the authors’ reverse Z-plasty technique in restoring natural medial canthal region harmonizing with Asian face. Methods From January 2010 to December 2016, reverse Z-plasty was performed in patients seeking revisions after previous medial epicanthoplasties. Patients were surveyed to assess their satisfaction with surgical outcomes. Interepicanthal distance-lengthening ratios and symmetry of palpebral widths were evaluated digitally (ImageJ software) in patients who received revisional epicanthoplasty only. Results The reverse Z-plasty technique for revisional epicanthoplasty was performed in 548 Asian patients (83 males, 460 females). Most patients were pleased with the final outcomes. Only 6% submitted to later revisions of scars, which were otherwise scarcely visible after 3 months. Among 60 patients who underwent only revisional epicanthoplasty, interepicanthal distance-lengthening ratios ranged from 2.9% to 31.1% (average, 8.6%), and palpebral width symmetries improved. Conclusions This particular technique helps restore the 3-dimensional appearance of medial canthal angle through horizontal skin and soft tissue (including muscle and ligament) restructuring, thus compensating for tissue deficiency. It is simple in design, easy to perform, and satisfactory results were achieved, conferring natural aesthetics to the medial canthal region. Level of Evidence: 4 |
| Databáze: | OpenAIRE |
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