Epikanthal Folds
Do you know what epikanthal folds are? They refer to webbed skin folds extending downward from the inner canthus in a forward direction or upward in a reverse direction—a relatively common eye concern. So what is scarless epicanthoplasty?Let's explore this scarless epicanthal fold correction technique.
Is scarless epicanthal fold correction effective?
1. Scarless epicanthal fold correction surgery: The goal is to remove the skin fold at the inner corner of the eye, revealing the tear lake and enlarging the palpebral fissure.During double eyelid surgery, if significant epicanthal folds are present, they should be corrected simultaneously with the double eyelid procedure. This achieves optimal double eyelid results while also widening the palpebral fissure.Generally, correcting epicanthal folds can increase eye length by 3-5 millimeters, with a typical post-recovery increase of 2-3 millimeters. Combining this with double eyelid surgery yields superior results. Plastic surgeons determine the scarless epicanthal fold correction technique based on the severity and distribution of the folds.
2. From an aesthetic perspective: Facial harmony depends on the "three facial divisions and five eye measurements." Ideally, the distance between the eyes should equal the width of one eye. However, epicanthal folds create excessive distance between the eyes—greater than the width of a single eye—diminishing the expressiveness of the gaze and imparting a somewhat dull appearance.
3. Classification of epicanthal folds: 1. Simple epicanthal fold: Present alone with slight narrowing of the palpebral fissure, single or inner double eyelid, without other anomalies.2. Complex epicanthal folds: Accompanied by significant narrowing of the palpebral fissure, thickening of eyelid skin and subcutaneous tissue, underdeveloped orbicularis oculi muscle, short and narrow tarsal plate, often with ptosis (inability to fully open the eyes).
4. Anesthesia for scarless epicanthal fold correction surgery: Local anesthesia or sedation anesthesia.
5. Postoperative Instructions for Scarless Epicanthal Fold Correction: Apply cold compresses locally for 24 hours post-surgery, then switch to warm compresses after 48 hours to aid edema reduction. Surgical incision marks typically fade within 2–3 months. Oral antibiotics are prescribed for 3 days post-surgery, with sutures removed after 5–7 days.
Epikanthal folds can obscure the natural shape of the inner canthus and partially block vision, affecting the aesthetic appearance of the eyes. Opting for scarless epicanthoplasty allows individuals to address these concerns and enhance the beauty characteristic of Asian women.