Root Z-Epicanthoplasty in Asian Eyelids

In the eyelids of Asians, the presence of epicanthal folds and the absence of supratarsal folds are a unique feature. The resulting appearance leads many to seek cosmetic improvement in the medial canthal area. Although many techniques have been described for the elimination of epicanthal folds, scarring and complexity in design are still barriers for surgeons to overcome. From July of 1998 to May of 2000, the authors used root Z-epicanthoplasty on the eyelids of 30 Asian patients to correct epicanthal folds. Results were satisfactory in all patients, with no complications. Root Z-epicanthoplasty, as performed by the authors, is a simple design and procedure; there is minimal scarring in the medial canthal area and no tension.