I want to walk through a case combining male no-crease ptosis correction and medial epicanthoplasty reconstruction.
The video below was taken pre-op.
He came in concerned about a high crease, a sleepy look, and an over-aggressive medial epicanthoplasty from a previous surgery.
He also had mild inferior scleral show.
Pre-op video below.
On the video you can see the slightly high crease showing through, and the over-released medial epicanthus.
Because the medial epicanthoplasty had been over-done, I started with the medial reconstruction.
Then, in a second stage, I lowered and hid the crease.
These can be done together, but based on his preferences we staged them.
The male no-crease ptosis correction follows the technique I published, applied directly to his case.
Earlier press piece for reference.
The medial reconstruction was guided by the following paper.
It was published recently.
In an international plastic surgery journal.
The most important thing in medial epicanthoplasty reconstruction is keeping the scar from widening.
And to hide the crease, you have to do a clean ptosis correction while taking down the existing adhesions completely.