The correction of telecanthus and epicanthal folds.

A modification of the trans-nasal wiring technique is described which provides a greater tightening of the canthal angles initially producing a greater reduction in the telecanthus and seems to eliminate late recurrence of the telecanthus. This procedure is described in conjunction with epicanthal fold repair when it occurs together with the telecanthus. The spicanthal fold repair technique involves excision of the epicanthal fold and together with abnormal subcutaneous tissue under the skin which is undermined. Meticulous skin closure of the skin edges together with compression of the skin at the base of the nose with the trans-nasal wires restores normal skin contour and canthal angle position at the base of the nose. The above technique is applied to congenital and post-traumatic deformities.