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논문검색

학회지 > 논문검색
논문 검색
Jong Rag Lee, Nam Bok Kim*
"Department of Plastic and Reconstructive Surgery, Taejon Sun Hospital, Taejon, Korea., Kim Nam Bok Aesthetic Plastic surgery clinic. Taejon, Korea.*"
EPICANTHOPLASTY USING MODIFIED UCHIDA'S METHOD
J Korean Soc Aesth Surg 1999 (Sep) 005(16) 364-370
Epicanthoplasty Modified Uchida's method
Ksaps005-02-16.pdf Ksaps005-02-16.pdf
In the majority of East Asian eyelids, the presence of a medial epicanthal fold is one of the unique anatomic characteristics. Roundness of medial canthal area and a narrow, short palpebral fissure are aesthetic consequences of this anatomic features. But, the idea of beauty has changed with time by influence of western culture. Many people are favorable to the wide open eye without epicanthal fold, which make improved facial balance.
  Double-eyelid operation is the most commonly performed procedure of aesthetic surgery field in Korea. However, many cases of successfully done double-eyelid operation results in only partial improvement by leaving medial epicanthal folds. We can get the improved results by utilizing epicanthoplasty that lengthens the palpebral fissure, and thus producing the image of a larger, open eye. Consequently the requirements for epicanthoplasty has increased in modern time.
  The Uchida's split V-W plasty is one of the most frequently used methods. But, it has disadvantages of completely exposed scar, potential for dog-ear formation, and two stage procedure with some cases of double-eyelid operation. We modified the Uchida's method by moving the position of 2 triangular flaps more laterally and conjoining the incision line of double-eyelid operation with that of epicanthoplasty. The purposes of our modification are not complete eliminating but relieving the epicanthal fold, hiding the minimal scar behind the new relieved fold and preventing the dog-ear on the transitional zone. From January, 1995 to June, 1999, this method was applied to 93 patients who have medial epicanthal folds and performed with double-eyelid operation concomitantly. Age ranged from 12 to 47 years and the mean age was 23 years. Through the mean 15 months of follow up, the mean widening of the palpebral fissure width was 2.5mm and the mean reduction of the intercanthal distance was 5mm.
  The modified Uchida's method has advantages of simplicity in procedure, effectiveness in results, minimal scarring with hiding behind the new small fold, and one stage procedure with double-eyelid operation. We think it can be applied generally to almost of all double-eyelid operation except epicanthal fold is marked severe.
이종락, 김남복*
대전 선병원 성형외과, 김남복 성형외과*
Uchida변법을이용한내안각췌피성형술
1999 (Sep) 005(16) 364-370