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Restoration of Complicated Epicanthus Modified Reverse Skin Redraping With Mini-epicanthoplasty for Rescue in Unsatisfied Epicanthoplasty Patients

Title
Restoration of Complicated Epicanthus Modified Reverse Skin Redraping With Mini-epicanthoplasty for Rescue in Unsatisfied Epicanthoplasty Patients
Authors
Chung, Yoon JaeHan, Kyung EunPark, Bo Young
Ewha Authors
박보영한경은
SCOPUS Author ID
박보영scopus; 한경은scopusscopus
Issue Date
2017
Journal Title
ANNALS OF PLASTIC SURGERY
ISSN
0148-7043JCR Link1536-3708JCR Link
Citation
vol. 78, no. 6, pp. 613 - 617
Keywords
epicanthoplastyunsatisfactory resultsreverse skin redrapingmini-epicanthoplastyepicanthal restorationepicanthal reconstruction
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
Purpose: We had reported the surgical outcome of reverse skin redraping technique for restoration of previously performed epicanthoplasty. In this study, we introduce a modified reverse skin redraping technique that added mini-epicanthoplasty in patients with unsatisfactory results after epicanthoplasty. Methods: Three hundred twenty-four patients (288 female and 36 male patients) who had unsatisfied results with previous epicanthoplasty and that were treated with our modified restoration surgery were included in this study. Results: The mean preoperative interepicanthal distance was 33.6 mm, and the mean postoperative interepicanthal distance was 36.9 mm; the mean difference in the interepicanthal distance before and after restoration surgery was 3.3 mm. Satisfactory aesthetic results were obtained with improvements in areas of asymmetry, overexposure of the caruncle, and the appearance of the previous scar. Only minor complications developed in 15 patients (4.6%) that were resolved with minor revisions. No severe complications requiring reoperations were noted. Conclusions: Our modified method involving reverse skin redraping and mini-epicanthoplasty is simple and reproducible and is useful for resolution of unsatisfactory results to obtain a naturally shaped epicanthus.
DOI
10.1097/SAP.0000000000000991
Appears in Collections:
의과대학 > 의학과 > Journal papers
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