Effect of epicanthoplasty on the descent of the eyebrow

Background: Epicanthoplasty is an additional surgical technique for blepharoplasty, often performed in conjunction with ptosis correction surgery or eyelid crease surgery, rather than as a standalone procedure. Numerous studies have reported on the functional improvement after upper eyelid and ptosi...

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Main Authors: Yong-Il Shin, Kyoung-Jin Kang, Jae-Ran Hong, Montri Khammoonta, Phoebe Kar Wai Lam, Sang-Yoon Lee
Format: Article
Language:English
Published: Korean Society of Korean Cosmetic Surgery and medicine 2024-12-01
Series:Journal of Cosmetic Medicine
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Online Access:http://www.jcosmetmed.org/journal/view.html?doi=10.25056/JCM.2024.8.2.94
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author Yong-Il Shin
Kyoung-Jin Kang
Jae-Ran Hong
Montri Khammoonta
Phoebe Kar Wai Lam
Sang-Yoon Lee
author_facet Yong-Il Shin
Kyoung-Jin Kang
Jae-Ran Hong
Montri Khammoonta
Phoebe Kar Wai Lam
Sang-Yoon Lee
author_sort Yong-Il Shin
collection DOAJ
description Background: Epicanthoplasty is an additional surgical technique for blepharoplasty, often performed in conjunction with ptosis correction surgery or eyelid crease surgery, rather than as a standalone procedure. Numerous studies have reported on the functional improvement after upper eyelid and ptosis correction surgeries, which can lead to eyebrow descent. However, no studies have been conducted on the effects of epicanthoplasty alone. Objective: We observed changes in eyebrow position and patient satisfaction immediately after epicanthoplasty in patients undergoing both procedures, before proceeding with ptosis correction surgery. Methods: Among 15 patients who underwent epicanthoplasty and ptosis correction surgery at a Seoul cosmetic surgery clinic between October 2018 and March 2019, nine patients (eight females and one male) were included. Six patients were excluded due to photographic errors. Changes in eyebrow descent, palpebral fissure morphology from preoperative and postoperative photographs, and patient satisfaction were assessed. Results: After epicanthoplasty, the average descent of the eyebrow at the medial, central, and lateral positions was 1.78±1.2, 1.5±1.0, and 0.89±1.2 mm in 18 numbers of eyelids, respectively. Although no statistically significant reductions were observed in specific areas, morphological changes indicated a greater decrease in the central and medial regions. The vertical length of the palpebral fissure measured 10.9±1.6 mm preoperatively and 11.09±1.9 mm postoperatively in 18 numbers of eyelids, showing no statistically significant increase. Patient satisfaction regarding comfort while opening the eyes was 3.78±0.67 when lying down but decreased to 2.33±0.87 after changing to a sitting position. Conclusion: Epicanthoplasty causes eyebrow descent and morphological changes, reduces discomfort while opening the eyes, and ultimately increases patient satisfaction.
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spelling doaj-art-c86b1a592efc49b583ebf7c36efa665c2025-01-06T05:22:11ZengKorean Society of Korean Cosmetic Surgery and medicineJournal of Cosmetic Medicine2586-05852024-12-0182949910.25056/JCM.2024.8.2.94JCM.2024.8.2.94Effect of epicanthoplasty on the descent of the eyebrowYong-Il Shin0Kyoung-Jin Kang1Jae-Ran Hong2Montri Khammoonta3Phoebe Kar Wai Lam4Sang-Yoon Lee5Department of Rehabilitation Medicine, Pusan National University Yangsan Hospital, Yangsan, Rep. of KoreaPASCAL Clinic, Seoul, Rep. of KoreaDepartment of Occupational Therapy, Gwangyang Health College, Gwangyang, Rep. of KoreaPruksa Grand Clinic, Nahkoin Pathom, ThailandPerfect Skin Solution, Hong KongPASCAL Clinic, Seoul, Rep. of KoreaBackground: Epicanthoplasty is an additional surgical technique for blepharoplasty, often performed in conjunction with ptosis correction surgery or eyelid crease surgery, rather than as a standalone procedure. Numerous studies have reported on the functional improvement after upper eyelid and ptosis correction surgeries, which can lead to eyebrow descent. However, no studies have been conducted on the effects of epicanthoplasty alone. Objective: We observed changes in eyebrow position and patient satisfaction immediately after epicanthoplasty in patients undergoing both procedures, before proceeding with ptosis correction surgery. Methods: Among 15 patients who underwent epicanthoplasty and ptosis correction surgery at a Seoul cosmetic surgery clinic between October 2018 and March 2019, nine patients (eight females and one male) were included. Six patients were excluded due to photographic errors. Changes in eyebrow descent, palpebral fissure morphology from preoperative and postoperative photographs, and patient satisfaction were assessed. Results: After epicanthoplasty, the average descent of the eyebrow at the medial, central, and lateral positions was 1.78±1.2, 1.5±1.0, and 0.89±1.2 mm in 18 numbers of eyelids, respectively. Although no statistically significant reductions were observed in specific areas, morphological changes indicated a greater decrease in the central and medial regions. The vertical length of the palpebral fissure measured 10.9±1.6 mm preoperatively and 11.09±1.9 mm postoperatively in 18 numbers of eyelids, showing no statistically significant increase. Patient satisfaction regarding comfort while opening the eyes was 3.78±0.67 when lying down but decreased to 2.33±0.87 after changing to a sitting position. Conclusion: Epicanthoplasty causes eyebrow descent and morphological changes, reduces discomfort while opening the eyes, and ultimately increases patient satisfaction.http://www.jcosmetmed.org/journal/view.html?doi=10.25056/JCM.2024.8.2.94descent eyebrow; epicanthoplasty; mongolian fold; ptosis correction surgery
spellingShingle Yong-Il Shin
Kyoung-Jin Kang
Jae-Ran Hong
Montri Khammoonta
Phoebe Kar Wai Lam
Sang-Yoon Lee
Effect of epicanthoplasty on the descent of the eyebrow
Journal of Cosmetic Medicine
descent eyebrow; epicanthoplasty; mongolian fold; ptosis correction surgery
title Effect of epicanthoplasty on the descent of the eyebrow
title_full Effect of epicanthoplasty on the descent of the eyebrow
title_fullStr Effect of epicanthoplasty on the descent of the eyebrow
title_full_unstemmed Effect of epicanthoplasty on the descent of the eyebrow
title_short Effect of epicanthoplasty on the descent of the eyebrow
title_sort effect of epicanthoplasty on the descent of the eyebrow
topic descent eyebrow; epicanthoplasty; mongolian fold; ptosis correction surgery
url http://www.jcosmetmed.org/journal/view.html?doi=10.25056/JCM.2024.8.2.94
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