Medial Epicanthoplasty
An Operation to Modify the Epicanthal Fold
(Surgery performed by Dr. Frank Meronk)
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| Before surgery, this relatively mild epicanthal fold is narrowing the horizontal opening of the eye. |
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The skin is stretched towards the nose and the proposed incisions are measured and marked. |
| The skin is incised in the shape of a Z to create two traingular flaps. |
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The flaps are dissected free from the underlying structures, but no tissue is removed. Even without pulling, the lower flap shows spontaneous partial elevation. |
| The flaps are transposed (lower flap rotated up, lower flap rotated down) and sutured. |

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Before

Immediately After

The operated eye appears more open and the eyelids wider at their inside corner. Following epicanthoplasty, the patient underwent incisional double eyelid surgery (not shown).
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• Epicanthoplasty

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