Abstract
Blepharoplasty is the most frequently performed cosmetic surgical procedure in Asia.
The epicanthal fold, which is common in Asians, is characterized by a curved skin
fold that partially hides the caruncle and lacrimal lake. The epicanthal fold may
cause weakening of the esthetic appearance after blepharoplasty. It makes the palpebral
fissure height narrower and the length shorter horizontally. Blepharoplasty with epicanthoplasty
can enhance the esthetic appearance, but no gold standard surgical technique has been
established for epicanthoplasty. Surgeons can choose the surgical technique according
to their preference and the patient's characteristics. A carefully designed and fine
surgical technique, especially with the use of loupes and tension-free skin closure
with the thinnest needle, is required to avoid scarring.
Keywords
epicanthal fold - epicanthoplasty - Asian - double eyelid crease surgery - blepharoplasty
