A Novel Thunderbolt Z-Epicanthoplasty for Asians

Wijaya, Wilson A.; Tang, Jun; Zhong, Ai; Zhou, Kai; Liu, Yu; Yang, Aimin; Qing, Yong; Cen, Ying

doi:10.1007/s00266-022-02934-3

Cited by 4 publications

(5 citation statements)

References 22 publications

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“…Some cases involve individuals who wish to transition from a parallel to a tapered eyelid shape, while others require correction of issues such as excessive exposure of the lacrimal caruncle, asymmetry, or noticeable scars resulting from previous excessive correction of the inner corners of the eyes [5] . When performing inner corner tightening surgery, it is important to adjust the shape and direction of the inner corners based on the current eye shape of the individual, which includes considerations such as the color and exposure level of the lacrimal caruncle, the position, shape, direction, and angle of the inner corners, the presence of lower eyelid retraction, the location of the tear duct, the curvature of the inner lower eyelid, and the position of the lacrimal caruncle [6,7] . Reconstruction of rst or second-degree epicanthic folds can achieve a more natural-looking result and enhance the appearance of a youthful look.…”

Section: Resultsmentioning

confidence: 99%

The Application of Reverse Z-Plasty Design in Medial Canthal Skin Redundancy Reconstruction Surgery.

Huahui,

Xiaohui,

Jiange

et al. 2023

Preprint

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Purpose To investigate the clinical outcomes of reverse Z-plasty in the reconstruction of epicanthal fold. Methods A retrospective analysis was conducted on the clinical data of patients who underwent reverse Z-plasty for epicanthal fold reconstruction from September 2019 to January 2023. The surgical procedure involved preoperative design line incision, dissection beneath the orbicularis oculi muscle to form a muscular flap, and using the temporal side muscular flap as the reconstructed epicanthal fold. Postoperative follow-up included assessing the degree of epicanthal fold reduction, the appearance of the epicanthal fold, incision scars, and patient satisfaction. The intercanthal distance was measured in all patients before surgery and at 6 months postoperatively, and the paired t-test was used for statistical analysis with a significance level of P < 0.05 indicating statistical significance. Results A total of 16 patients (15 females, 1 male) with an average age of 32 years (range: 17–38 years) were included in the study. All patients had a follow-up period of at least 3 months, with an average follow-up of 7 months. Patient satisfaction evaluation showed that 13 patients were very satisfied, 3 patients were satisfied, and there were no cases of dissatisfaction. The degree of exposure of the lacrimal prominence decreased in all patients, the shape of the epicanthal fold was natural, the size of bilateral eyelid fissure was appropriate, and the parallel double eyelids were transformed into fan-shaped double eyelids. The appearance of the incision scars was not prominent and the lines were smooth. The increase in intercanthal distance ranged from 3 to 6mm, with a range of ICD elongation ratio from 9.09–28.30%. The preoperative measurement of intercanthal distance ranged from 28 to 35.0mm, with a mean of 31.25 ± 2.32mm, and the postoperative measurement was 35.19 ± 2.26mm. The difference was statistically significant (t=-4.793, P < 0.001). There were no urgent or discomfort sensations in eye movement, and the results were satisfactory. Conclusion Reverse Z-plasty design is suitable for epicanthal fold reconstruction. The incision design is clear and precise, and the postoperative outcomes are stable, achieving successful reconstruction of the epicanthal fold.

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Section: Resultsmentioning

confidence: 99%

The Application of Reverse Z-Plasty Design in Medial Canthal Skin Redundancy Reconstruction Surgery.

Huahui,

Xiaohui,

Jiange

et al. 2023

Preprint

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show abstract

“…7 When performing inner corner tightening surgery, it is important to adjust the shape and direction of the inner corners based on the current eye shape of the individual, which includes considerations such as the color and exposure level of the lacrimal caruncle, the position, shape, direction, and angle of the inner corners, the presence of lower eyelid retraction, the location of the tear duct, the curvature of the inner lower eyelid, and the position of the lacrimal caruncle. 6,7,8 Reconstruction of first or second-degree epicanthic folds can achieve a more natural-looking result and enhance the appearance of a youthful look. It is generally not recommended to recreate the appearance of third-degree epicanthic folds after correction.…”

Section: Discussionmentioning

confidence: 99%

“…Some cases involve individuals who wish to transition from a parallel to a tapered eyelid shape, while others require correction of issues such as excessive exposure of the lacrimal caruncle, asymmetry, or noticeable scars resulting from previous excessive correction of the inner corners of the eyes 7 . When performing inner corner tightening surgery, it is important to adjust the shape and direction of the inner corners based on the current eye shape of the individual, which includes considerations such as the color and exposure level of the lacrimal caruncle, the position, shape, direction, and angle of the inner corners, the presence of lower eyelid retraction, the location of the tear duct, the curvature of the inner lower eyelid, and the position of the lacrimal caruncle 6,7,8 . Reconstruction of first or second-degree epicanthic folds can achieve a more natural-looking result and enhance the appearance of a youthful look.…”

Section: Discussionmentioning

confidence: 99%

The Application of Reverse Z-Plasty Design in Medial Canthal Skin Redundancy Reconstruction Surgery

Huahui,

Dan,

Jiange

et al. 2024

Journal of Craniofacial Surgery

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Purpose: To investigate the clinical outcomes of reverse Z-plasty in the reconstruction of epicanthal fold. Methods: We conducted a retrospective analysis on clinical data from patients who underwent medial canthal skin redundancy reconstruction surgery from September 2019 to January 2023. The surgical procedure involved a preoperative design for the incision line, suborbicularis oculi dissection to create a muscle flap, and the use of a reverse Z-flap for the reconstruction of the lateral canthal fold. Postoperative follow-up assessments focused on the intercanthal distance, positional changes of the medial canthus point, alterations in the medial canthus angle, and patient satisfaction levels. The statistical evaluation was carried out utilizing paired t-tests, with a P-value of less than 0.05 denoting statistical significance. Results: Postsurgery, the lacrimal prominences were less exposed, and inner canthal angles naturally reshaped. Inconspicuous scarring with diminished reverse Z-plasty marks was noted within 3 months. The average ICD has increased by 3 to 6 mm, corresponding to elongation ratios of 9.09% to 28.30%. Preoperatively, the ICD averaged 31.25±2.32 mm, expanding postoperatively to 35.19±2.26 mm. The canthal angle enlarged significantly from 49.031±6.627 to 62.188±6.662. Inner canthal points shifted notably postsurgery, with a decrease in x-value and an increase in y-value, signalling a movement upwards and away from the nose. Patient satisfaction is high. Conclusion: The reverse Z-plasty technique has proven to be an effective approach for reconstructing the epicanthal fold. The clarity and precision of the incision design, coupled with the stability of postoperative results, demonstrate that this method can reliably achieve successful epicanthal fold reconstruction.

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“…Some cases involve individuals who wish to transition from a parallel to a tapered eyelid shape, while others require correction of issues such as excessive exposure of the lacrimal caruncle, asymmetry, or noticeable scars resulting from previous excessive correction of the inner corners of the eyes [4]. When performing inner corner tightening surgery, it is important to adjust the shape and direction of the inner corners based on the current eye shape of the individual, which includes considerations such as the color and exposure level of the lacrimal caruncle, the position, shape, direction, and angle of the inner corners, the presence of lower eyelid retraction, the location of the tear duct, the curvature of the inner lower eyelid, and the position of the lacrimal caruncle [5,6]. Reconstruction of first or second-degree epicanthic folds can achieve a more natural-looking result and enhance the appearance of a youthful look.…”

Section: /5mentioning

confidence: 99%

“…Reconstruction of first or second-degree epicanthic folds can achieve a more natural-looking result and enhance the appearance of a youthful look. It is generally not recommended to recreate the appearance of third-degree epicanthic folds after correction [5,6].…”

Section: /5mentioning

confidence: 99%

The Application of Reverse Z-Plasty Design in Medial Canthal Skin Redundancy Reconstruction Surgery

Long,

Zhang

2023

JSM Head Face Med

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A Novel Thunderbolt Z-Epicanthoplasty for Asians

Cited by 4 publications

References 22 publications

The Application of Reverse Z-Plasty Design in Medial Canthal Skin Redundancy Reconstruction Surgery.

The Application of Reverse Z-Plasty Design in Medial Canthal Skin Redundancy Reconstruction Surgery.

The Application of Reverse Z-Plasty Design in Medial Canthal Skin Redundancy Reconstruction Surgery

The Application of Reverse Z-Plasty Design in Medial Canthal Skin Redundancy Reconstruction Surgery

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