Epicanthoplasty

What is Epicanthoplasty?

Epicanthoplasty is the procedure for aesthetic correction of the medial epicanthal (or Mongolian) fold. Epicanthal folds represents the redundant or abnormally distributed skin at the eye inner corner of many Asian patients (congenital), although it could also result from post-trauma or post-surgery. It lies in a vertical or semilunar orientation at the medial canthus, overlying the medial canthus structures. It often prevents natural formation of the outfold upper eyelid crease; hence this Mongolian fold cosmetic procedure is often performed concurrently with Asian double eyelid surgery.

Epicanthoplasty involves tissue rearrangement within the lower eyelid and inner eye, revealing the medial canthus and medial palpebral fornix and widening the palpebral fissure. Epicanthal fold surgery should be performed in a way to minimize scarring in this important aesthetic area. Epicanthoplasty performed by Dr. Taban produces a minimal scar which is located as to mimic normal anatomic structures. The technique also allows reshaping of the canthal area in accordance with the specified needs of the individual patient, thereby correcting any asymmetry, if needed.

As mentioned before, this epicanthal fold removal procedure can be performed concurrently with Asian double eyelid (crease) surgery. As with most other eyelid procedures, epicanthoplasty is performed under local anesthesia, with or without sedation, in an outpatient basis. Stitches are removed about a week after surgery. The bruising/swelling typically resolves in the first 7-10 days after the operation.