A new medial epicanthoplasty: upper medial epicanthoplasty for Asian patients

Objectifs: A new medial epicanthoplasty for asians A new method of creating a small triangular flap Removal of the medial canthus fibrous band (MCFB) Introduction: The folds of skin, orbicularis oculi muscle, and mongolian folds that extend from the upper eyelid to the lower eyelid are known as the mongolian folds and are unique to Asians. This fold is said to be present in 70% of the Japanese population. The presence of these folds gives the eyes a rounded and gentle appearance, but to a greater degree, they make the two eyes appear further apart or, in the case of blepharoplasty, hide the inner part of the double fold. Matériels / méthode: For this reason, medial epicanthoplasty to release the mongolian folds is often performed. Conventional medial epicanthoplasty is a method to release the Mongolian fold by pulling the lower edge of the Mongolian fold inward and shortening the distance between the internal eye angles. Therefore, not indicated when the inner canthal distance is short. We devised a new method of creating a small triangular flap at the inner eye angle to release the Mongolian fold without changing the distance between the inner eye angles. Résultats: The advantage of this method is that it does not change the inner canthal distance. Conclusion: By the wide surgical field, removal of the medial canthus fibrous band (MCFB), which has been suggested to correlate with the severity of the Mongolian fold, is easier than with conventional medial epicanthoplasty. Therefore, it is believed that it is possible to reliably release the mongolian folds and prevent retroversion.