INNER CANTHAL RECONSTRUCTION WITH THE Y-V TECHNIQUE: CLINICAL CASE SERIES

Thị Thanh Hải Nguyễn, Ngân Hà Nguyễn, Hồng Vân Phạm

Main Article Content

Abstract

The epicanthal fold is a common anatomical feature among individuals of Asian descent. This condition may appear in isolation, increasing the distance between the inner corners of the eyes and affecting overall facial balance. In some cases, it may be associated with other ocular abnormalities such as epiblepharon, ptosis, or narrow palpebral fissures, which can impair visual function. The demand for surgical intervention to improve both function and aesthetics has been increasing. Several medial canthoplasty techniques have been proposed and applied clinically, including the Rogman technique, Z-plasty, and the Mustardé method. Among them, the Y-V advancement flap technique is highly regarded for its safety, relative simplicity, low complication rate, and excellent anatomical and cosmetic outcomes in medial canthus reconstruction. As such, it is currently the preferred approach for epicanthoplasty in clinical practice.

Article Details

References

Park JI, Park MS. Park Z-Epicanthoplasty. Facial Plast Surg Clin N Am. 2007;15(3):343-352.
2. Kao YS, Lin CH, Fang RH. Epicanthoplasty with modified Y-V advancement procedure. Plast Reconstr Surg. 1998;102(6):1835-1841.
3. Lessa S, Sebastiá R. Z-epicanthoplasty. Aesthetic Plast Surg. 1984;8(3):159-163.
4. Mustarde JC. Epicanthus and telecanthus. Br J Plast Surg. 1963;16:346-356.
5. Hussain I, Khan T. Cosmetic outcome of Y-V medial canthoplasty in blepharophimosis syndrome. J Coll Physicians Surg--Pak JCPSP. 2013;23(3):182-185.
6. Trần Thu Hương TT. Nghiên cứu đặc điểm lâm sàng và kết quả phẫu thuật điều trị hội chứng hẹp khe mi- sụp mi- nếp quạt ngược. Published online 2022.
7. Wang S, Liu H, Li T, Zhang D. Role of the Medial Canthus Fibrous Band in Forming Moderate and Severe Epicanthal Folds in Asians and Its Clinical Application. Plast Reconstr Surg. 2024;153(6):1092e-1100e.