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Cosmetic Lateral Canthoplasty

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Abstract

Background

Although there are patients who want cosmetic lateral canthoplasty to lengthen the lateral palpebral fissure of the lateral canthal area, no recommendable operational procedure exists that results in an accepatable scar formation. Because of the round eyeball shape, lengthening and widening of the lateral palpebral fissure should not be in the lateral direction, but rather in the posterior direction to keep the surface between the bulbar conjunctiva and the palpebral conjunctiva in contact.

Methods

The authors believed that using an upper crus flap of the upper eyelid margin as a transposition flap would enable lengthening of the lower eyelid width and posterior deepening of the lateral canthal area. This was thought possible by transverse back-cutting of the palpebral conjunctiva on the lateral fornix area.

Results

The authors have performed cosmetic lateral canthoplasty in more than 200 cases to increase the width of the lateral palpebral fissure. All the results were satisfactory and aesthetically acceptable.

Conclusions

The reported surgery makes the eyes appear larger and brighter. The authors think this procedure is a good and convenient method although it is not perfect.

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References

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Acknowledgments

The authors thank Robert S. Chung, M.D., F.A.C.S., former professor and chief, Department of Plastic Surgery. Ulsan University, ASAN Medical Center, Seoul, Korea for reviewing this manuscript. The authors also are grateful to Kwan Hyun Youn, M.A., for his illustrations. This study was supported by a grant of the Korea Health 21 R&D project, Ministry of Health and Welfare, Republic of Korea to Kun Hwang (02-PJ1-PG3-20703-0002).

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Authors and Affiliations

  1. Dong Yang Plastic Surgery Clinic, Seoul, Korea

    Yong Ho Shin M.D., M.S.

  2. Department of Plastic Surgery, College of Medicine, Inha University, Incheon, Korea

    Kun Hwang M.D., Ph.D.

  3. Department of Plastic Surgery, College of Medicine, Inha University, 7-206 Sinheung-dong, 400-711, Jung-gu, Incheon, Korea

    Kun Hwang M.D., Ph.D.

Authors
  1. Yong Ho Shin M.D., M.S.
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  2. Kun Hwang M.D., Ph.D.
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Corresponding author

Correspondence to Kun Hwang M.D., Ph.D..

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Shin, Y.H., Hwang, K. Cosmetic Lateral Canthoplasty. Aesth Plast Surg 28, 317–320 (2004). https://doi.org/10.1007/s00266-003-0060-7

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  • DOI: https://doi.org/10.1007/s00266-003-0060-7

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