Skip to main content
Top
Published in: Aesthetic Plastic Surgery 5/2019

01-10-2019 | Blepharoplasty | Original Article

Integrated and Stepwise Epicanthoplasty Combined with Blepharoplasty (ISEB) in an Ethnic Chinese Population

Authors: Yanyan Lin, Ben Chen, David M. Woo, Jason Kian Seng Lee, Jia Liu, Xiuying Zhu, Xi Chen

Published in: Aesthetic Plastic Surgery | Issue 5/2019

Login to get access

Abstract

Purpose

To evaluate the efficacy of the integrated and stepwise epicanthoplasty combined with blepharoplasty (ISEB) technique in an ethnic Asian population.

Method

The medical records of patients who underwent ISEB at the Eye Hospital of Wenzhou Medical University over a period of 36 months were retrospectively reviewed.

Results

A total of 104 patients (208 eyelids) were included in this study with ages ranging from 16 to 36 years old (mean 21.2 ± 2.8 years) and follow-up duration ranging from 6 months to 26 months (mean 9.7 ± 4.1 months). All patients achieved cosmetically desirable and natural appearances with adequate lacrimal caruncle exposure and horizontal lengthening of palpebral fissure. At the 6-month follow-up, there was no or minimal visible scarring in the medial canthal region. Postoperative evaluation at least 6 months following surgery showed that 98.1% (102/104) of patients felt that their surgical results were good or excellent. No recurrences of the epicanthal fold or disturbances of lacrimal function occurred throughout the follow-up period.

Conclusion

The ISEB is a novel surgical technique that is effective in dealing with vector forces during epicanthoplasty in combination with blepharoplasty and has been shown to be a practical and reliable method with good aesthetic outcomes.

Level of Evidence V

 This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Appendix
Available only for authorised users
Literature
1.
go back to reference Kao YS, Lin CH, Fang RH (1998) Epicanthoplasty with modified Y-V advancement procedure. Plast Reconstr Surg 102(6):1835–1841CrossRefPubMed Kao YS, Lin CH, Fang RH (1998) Epicanthoplasty with modified Y-V advancement procedure. Plast Reconstr Surg 102(6):1835–1841CrossRefPubMed
2.
go back to reference Wang L, Chen X, Zheng Y (2013) A modified z-epicanthoplasty combined with blepharoplasty used to create an in-type palpebral fissure in Asian eyelids. Aesthet Plast Surg 37(4):704–708CrossRef Wang L, Chen X, Zheng Y (2013) A modified z-epicanthoplasty combined with blepharoplasty used to create an in-type palpebral fissure in Asian eyelids. Aesthet Plast Surg 37(4):704–708CrossRef
3.
go back to reference Zhao J, Qi Z, Zong X (2016) A modified method combining z-epicanthoplasty and blepharoplasty to develop out-fold type double eyelids. Aesthet Plast Surg 40(1):48–53CrossRef Zhao J, Qi Z, Zong X (2016) A modified method combining z-epicanthoplasty and blepharoplasty to develop out-fold type double eyelids. Aesthet Plast Surg 40(1):48–53CrossRef
4.
go back to reference Fujiwara T, Maeda M, Kuwae K (2006) Modified split v-w plasty for entropion with an epicanthal fold in Asian eyelids. Plast Reconstr Surg 118(3):635–642CrossRefPubMed Fujiwara T, Maeda M, Kuwae K (2006) Modified split v-w plasty for entropion with an epicanthal fold in Asian eyelids. Plast Reconstr Surg 118(3):635–642CrossRefPubMed
5.
go back to reference Liu Y, Lei M, Wang Y (2012) Lazy s-curve epicanthoplasty in Asian blepharoplasty. Aesthet Plast Surg 36(2):254–260CrossRef Liu Y, Lei M, Wang Y (2012) Lazy s-curve epicanthoplasty in Asian blepharoplasty. Aesthet Plast Surg 36(2):254–260CrossRef
6.
go back to reference Yoon K (1996) Modification of mustarde technique for correction of epicanthus in asian patients. Plast Reconstr Surg 97(1):245CrossRefPubMed Yoon K (1996) Modification of mustarde technique for correction of epicanthus in asian patients. Plast Reconstr Surg 97(1):245CrossRefPubMed
7.
go back to reference Saonanon P (2016) The new focus on epicanthoplasty for asian eyelids. Curr Opin Ophthalmol 27(5):457–464CrossRefPubMed Saonanon P (2016) The new focus on epicanthoplasty for asian eyelids. Curr Opin Ophthalmol 27(5):457–464CrossRefPubMed
9.
go back to reference Hu X, Lin X, Ma G (2012) Two-z-epicanthoplasty in a three-dimensional model of asian eyelids. Aesthet Plast Surg 36(4):788–794CrossRef Hu X, Lin X, Ma G (2012) Two-z-epicanthoplasty in a three-dimensional model of asian eyelids. Aesthet Plast Surg 36(4):788–794CrossRef
10.
go back to reference Kakizaki H, Ichinose A, Nakano T (2012) Anatomy of the epicanthal fold. Plast Reconstr Surg 130(3):494e–495eCrossRefPubMed Kakizaki H, Ichinose A, Nakano T (2012) Anatomy of the epicanthal fold. Plast Reconstr Surg 130(3):494e–495eCrossRefPubMed
11.
go back to reference Chen WPD (2018) Asian upper blepharoplasty. JAMA Fac Plast Surg 20(3):249–250CrossRef Chen WPD (2018) Asian upper blepharoplasty. JAMA Fac Plast Surg 20(3):249–250CrossRef
12.
go back to reference Chang SH, Chen WP, Cho IC (2014) Comprehensive review of Asian cosmetic upper eyelid oculoplastic surgery: Asian blepharoplasty and the like. Arch Aesthet Plast Surg 20(3):129CrossRef Chang SH, Chen WP, Cho IC (2014) Comprehensive review of Asian cosmetic upper eyelid oculoplastic surgery: Asian blepharoplasty and the like. Arch Aesthet Plast Surg 20(3):129CrossRef
13.
go back to reference Zeng L, Cen Y, Chen J (2017) Epicanthoplasty with epicanthal dermatic tension-releasing incision based on skin projection of inner canthal ligament. Aesthet Plast Surg 41(4):863–871CrossRef Zeng L, Cen Y, Chen J (2017) Epicanthoplasty with epicanthal dermatic tension-releasing incision based on skin projection of inner canthal ligament. Aesthet Plast Surg 41(4):863–871CrossRef
Metadata
Title
Integrated and Stepwise Epicanthoplasty Combined with Blepharoplasty (ISEB) in an Ethnic Chinese Population
Authors
Yanyan Lin
Ben Chen
David M. Woo
Jason Kian Seng Lee
Jia Liu
Xiuying Zhu
Xi Chen
Publication date
01-10-2019
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 5/2019
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-019-01357-x

Other articles of this Issue 5/2019

Aesthetic Plastic Surgery 5/2019 Go to the issue