Epicanthal Folds Surgery?

Epicanthal folds are defined as skin folds of upper eyelid bending towards inner corner of eye. It is a congenital disease and develops during development of fetus within womb. It is a harmless disease which does not affect other parts of face and body. It normally occurs in korean, japanese and chinese population. Mostly women are found with epicanthic folds as compared to men. Epicanthic folds disappear on its own after 3 to 6 months of gestation period in infants. But if it persists, then there may be a pathological condition leading towards epicanthic folds. The treatment options include surgical therapy. Surgical therapy involves various types according to severity and location of epicanthic folds.

Mainly epicanthoplasty is performed for correcting epicanthal folds. Epicanthoplasty is a rare surgery performed. It is also a risky procedure, because epicanthal folds cover half or almost full of lacrimal canaliculi. Lacrimal canaliculi are the drainage tracts of tears. When epicanthal folds on upper eyelid cover little bit of caruncle, then it is called as mild epicanthal folds and single eyelids. Single eyelids are different from double eyelids. Upper eyelid crease may also present along with epicanthal folds. Single eyelids can be treated with double eyelid surgery. In epicanthoplasty, medial epicanthal is corrected aesthetically. In Asians, epicanthal folds cover the inner corner of eye and is commonly present.

It may also occur due to any trauma or injury on head or eye. In epicanthoplasty, the inner most tissues of medial canthus are re-arranged to get normal upper eyelid. Tissue from inner side of eye are also re-arranged to make it more effective. Palpebral fissure is made wide and reveals medial canthus and palpebral fornix. Epicanthic surgery leaves scar on eye. So physician try his best to make it in a way with less scaring. Doctors or physicians perform epicanthoplasty with a minute cut, that it looks like a normal anatomical scar. Another benefit of epicanthoplasty is, patient can rearrange his canthus according to his desire along with removal of epicanthal folds. Sometimes physician correct any kind of asymmetry present in eye along with epicanthoplasty.

Doctors perform double eyelid crease surgery with epicanthoplasty in order to correct both conditions of epicanthal folds and eyelid crease. In epicanthoplasty, general or local anesthesia are used depending upon the condition. Sedatives are optional. As in outpatients sedatives are not recommended. After correcting eyelids and epicanthal folds by removing excessive tissues of inner most skin of medial canthus. Doctors stitch the cuts and these stitches are removed after a week of surgery.

Now a days dissolve able stitches are used which dissolve on their own after complete healing. After epicanthoplasty, swelling or bruising may occur but it disappears after 7 to 10 days of surgery. Special care is needed after epicanthoplasty. Patient have to take care of wound to avoid any infection and have to follow doctors instructions about medications prescribed. It is an effective surgical procedure but requires special care during surgery because of involvement of sensitive parts of eye.
Epicanthal Folds Surgery? Epicanthal Folds Surgery? Reviewed by Simon Albert on January 25, 2017 Rating: 5
Powered by Blogger.