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).
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