The five-step medial epicanthoplasty: simple and standardized.

BACKGROUND

Epicanthus refers to the longitudinal curved skin folds that cover the medial canthus, which affect aesthetics due to covering the medial canthus angle and lacrimal mound. Various surgical methods exist for correcting epicanthus, each with its own set of advantages and disadvantages, and lacking a standardized operational protocol, making it difficult for beginners to master and for clinical promotion.This article aims to explore a standardized and simplified five-step procedure for treating epicanthus and report our clinical experience and effectiveness.

METHODS

A retrospective analysis was conducted from October 2019 to September 2022 at the Burn and Plastic Surgery Department of the Second Affiliated Hospital of South China University. A consistent team of doctors utilized a five-step method to correct the medial canthus in 306 patients with epicanthus. All patients were followed up for more than 6 months. We observed 306 patients and used iris diameter as a reference value to subjectively evaluate the clinical effect through photo evaluation and scar scoring.Objective evaluation of clinical efficacy was achieved through the inter canthal distance (ICD) and palpebral fissure length (PFL).

RESULTS

The study included 295 females and 11 males, with an average follow-up time of 14.2 months.The average increase rate of PFL is 14.9%, and the average reduction rate of ICD is 8.6%. Two cases of bleeding and swelling were promptly treated, and no long-term complications were left. 85 cases of scar hyperplasia were treated with KELO-COTE® silicone gel, triamcinolone injection, and appropriate laser therapy in combination, and the scars gradually resolved after 12 months. 4 cases of recurrence and 2 cases of asymmetry underwent reoperation. Observing the satisfaction and effectiveness rate of 306 patients, the overall satisfaction and effectiveness rate reached over 95%. About 96.40% of patients were satisfied with the surgery and would recommend it to their family and friends. The paired t-test was used for statistical analysis, and the results showed statistical significance.

CONCLUSIONS

The five-step method for correcting epicanthus proves to be a simple, efficient, and reliable technique that is easily mastered by beginners. It boasts high patient satisfaction and carries a low risk of scar formation.