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Journal of the Korean Society for Aesthetic Plastic Surgery 2009;15(1):61-63.
Published online March 1, 2009.
Correction of Out-fold to In-fold.
Dong Kyu Kim, Sung Hee Hong, Seung Eup Hong
1Department of Plastic and Reconstructive Surgery, College of Medicine, Eulji University, Seoul, Korea. hsh2505@eulji.ac.kr
2Hong Seung Eup Plastic Surgery Clinic, Seoul, Korea.
Abstract
Many Asian people want to have bigger eyes. It is one of the reasons of why high out-fold upper eyelids are made. We corrected out fold to in-fold or neutral-fold. The purpose of this study is to introduce operation procedures. The authors corrected out folds of 32 patients with medial orbital fat slide down anchoring method, 15 patients with fat graft and 13 patients who had ptosis with the levator advancement-Muller tucking method, and removed epicanthic folds of 11 patients. Follow-up ranged from 3 months to 4 years. The authors used medial orbital fat slide down anchoring method to correct out folds of 32 patients and all patients were satisfied with the results. Eleven of 15 patients who had fat graft were satisfied with the results. All patients who had ptosis were satisfied with the results. Generally, out fold can be corrected by the medial orbital fat slide down anchoring method. If orbital fat is not sufficient, fat graft will be a method for correction. Levator advancement - Muller tucking is a good method for ptosis, and epicanthoplasty is helpful for those who have epicanthic folds to make their eyes bigger.
Key Words: Eyelids, Blepharoplasty


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