Aesthetic Plastic Surgery

, Volume 42, Issue 6, pp 1571–1575 | Cite as

Adjustable V-Flap Epicanthoplasty Based on Desired Eyelid Morphology

  • Song Zhang
  • Hong-Yu Xue
Original Article Oculoplastic


Eyelid shape is one key distinctive feature of the Asian eye. The presence of epicanthal folds is a common eyelid defect of Asians. Different surgical techniques have been developed to correct epicanthal folds. However, potential problems with these techniques are emerging, such as difficulty in design, recurrence and/or prominent scarring after surgery, and restricted application together with double eyelidplasty. An improved epicanthoplasty technique with high simplicity and flexibility is imperative. From October 2000 to March 2017, we performed V-flap epicanthoplasty procedures on 423 Asian patients. The whole procedure, including V-shaped skin incision, myotomy and pilication of the medial canthal ligament was performed layer by layer. A similar palpebral fissure distance and inner canthal distance were acquired with this surgical operation. Besides, this surgical technique will not cause limitations on double eyelid morphology when a double blepharoplasty is performed at the same period. The V-flap epicanthoplasty we described here is able to fully correct the epicanthal folds with a simple and flexible design, and the surgery can be adjusted according to patient needs for desired double eyelid shape. Satisfactory results were ideally achieved with no recurrence and finer scar.

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Epicanthal folds V-flap epicanthoplasty Flexible design Double blepharoplasty 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

266_2018_1193_MOESM1_ESM.tif (443 kb)
Fig. S1: Case report 3, eye photos of patient before (a) and 18 months after (b) receiving the V-flap epicanthoplasty and “inner double-fold” eyelidplasty (TIFF 443 kb)
266_2018_1193_MOESM2_ESM.tif (406 kb)
Fig. S2: Case report 4, eye photos of patient before (a) and 18 months after (b) receiving the V-flap epicanthoplasty and “parallel” eyelidplasty (TIFF 406 kb)


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2018

Authors and Affiliations

  1. 1.Department of Plastic SurgeryPeking University Third HospitalBeijingPeople’s Republic of China

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