Reverse Skin Redraping Epicanthal Reconstruction

ABSTRACT

Medial epicanthoplasty is prevalently performed to increase the horizontal palpebral fissure and to correct sharp appearance of medial canthus with epicanthal fold. However, there has been no definite method to restore over-corrected medial epicanthoplasty. Author performed cosmetic epicanthal reconstruction in order to correct over-corrected medial epicanthoplasty using reverse skin redraping method. From January to June 2009, there were 8 patients who received cosmetic epicanthal reconstruction using reverse skin redraping. Mean preoperative intercanthal distance was 33.0mm, and mean follow-up period was 1 month. After operation, epicanthal fold was reconstructed, increasing the intercanthal distance by 4.2mm(mean). Most of postoperative repair line was located at the posterior side of the reconstructed epicanthal fold and subciliary line, therefore, the scar was almost invisible. No major complication was noted. This method can be effective in reversing over- corrected medial epicanthoplasty.