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Root Z-Epicanthoplasty

An Operation to Modify the Epicanthal Fold


(Surgery performed by Dr. Frank Meronk)

Before surgery, this relatively mild epicanthal fold is narrowing the horizontal opening of the eye.



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.



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.


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).

Epicanthoplasty




Double Eyelid Surgery Photos

Before-and-After Photos
Closeup Views 12
Two Eye Views 12

Primary Surgery Photographed Step-by-Step
Asian Double Eyelid Surgery | Epicanthoplasty

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Other Challenges in Asian Eyelid Surgery

Drooping Upper Eyelid
Ptosis Correction - Basics | Ptosis Correction - Advanced

Lower Eyelid Fullness
Asian Lower Blepharoplasty



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