Chung Yoon Jae, Koo Mun Geun, Lee Soo Hyang
Eve Aesthetic Clinic, 823 Nonhyeon-ro, Gangnam-gu, Seoul, Republic of Korea.
Inje University Ilsan Paik Hospital, 170 Juhwa-ro, Goyang-si, Gyeonggi-do, 10380, Republic of Korea.
Aesthetic Plast Surg. 2018 Jun;42(3):839-846. doi: 10.1007/s00266-017-1023-8. Epub 2018 Apr 2.
Medial epicanthoplasty is a common aesthetic surgery in Asia to remove the epicanthal fold. With increasing use of this surgery, unsatisfactory results have grown. Several methods have been developed to correct it. However, there are limitations in restoration if the patient has a severe scar or does not have enough skin for reconstruction. By aggressively removing scar tissue, the authors present a better reverse redraping epicanthoplasty.
The procedure was performed on 512 patients who had complications of medial epicanthoplasty from May 2011 to October 2015. The mean age was 31.3 years. Those who had already undergone reconstruction were 15.4% (n = 79). Of these, 68 patients received a V-Y flap and the rest had V-Y modification surgery. After the design, the skin-muscle flap was dissected and elevated. The upper and lower eyelid skin was pulled medially. The previous scar tissue was widely excised while removing skin excess, and the new epicanthal fold was created without a rectangular shape.
The mean interepicanthal distance has been increased from 32.8 to 36.6 mm. The mean lengthening effect is 3.8 mm. Lacrimal lake exposure, fierce and narrow appearance, and incomplete medial eyelid closure were improved.
Medial epicanthoplasty is a common cosmetic surgery in the Asian population. A demand for an effective reconstructive method has grown in association with higher complication rates. The authors have better results to make a natural epicanthal fold through aggressive scar removal in the reverse redraping epicanthoplasty.
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内眦成形术是亚洲常见的一种去除内眦赘皮的美容手术。随着该手术的使用增加，不满意的结果也在增多。已经开发了几种方法来纠正它。然而，如果患者有严重瘢痕或没有足够的皮肤进行重建，修复会存在局限性。通过积极去除瘢痕组织，作者提出了一种更好的反向重睑内眦成形术。
对2011年5月至2015年10月因内眦成形术并发症而接受手术的512例患者进行了该手术。平均年龄为31.3岁。已经接受过重建手术的患者占15.4%（n = 79）。其中，68例患者接受了V - Y皮瓣手术，其余患者接受了V - Y改良手术。设计完成后，解剖并掀起皮肤 - 肌肉瓣。将上、下眼睑皮肤向内侧牵拉。广泛切除先前的瘢痕组织并去除多余皮肤，形成非矩形的新内眦赘皮皱襞。
内眦间距平均从32.8毫米增加到36.6毫米。平均延长效果为3.8毫米。泪湖暴露、凶猛狭窄外观和内侧眼睑闭合不全得到改善。
内眦成形术是亚洲人群常见的美容手术。随着并发症发生率的升高，对有效重建方法的需求也在增加。作者通过在反向重睑内眦成形术中积极去除瘢痕，能更好地形成自然的内眦赘皮皱襞。
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