EPICANTHOPLASTY WITH MODIFIED Y-V ADVANCEMENT PROCEDURE

The presence of epicanthal folds and lack of supratarsal folds are uni que features in most Asian eyelids. Although many surgical procedures are available to eliminate epicanthal folds, scarring on the medial ca nthus is still an obstacle for surgeons to overcome. From January of 1 989 to November of 1997, we used modified Y-V advancement procedures i n 148 cases to correct epicanthal folds in Asian eyelids. Five of thos e cases involved congenital palpebral anomalies, including congenital entropion, congenital ptosis, and Down syndrome. There were few compli cations in our series. We believe that the modified Y-V advancement pr ocedure causes minimum scarring on medial canthus in correcting Orient al epicanthal folds and congenital palpebral anomalies. This procedure can also be simultaneously combined with blepharoplasties and correct ive procedures of eyelids.