Today's topic.
Medial Epicanthoplasty Reversal · One-Week Swelling Update
A few notes on this case.
He was a male patient who had a medial epicanthoplasty (Asian medial canthal release) at another clinic and felt that too much of his caruncle was exposed afterward. He came in for a reversal.
Caruncle exposure was at 100 percent in front.
When I perform a medial epicanthoplasty I generally aim for around 70 to 80 percent caruncle exposure.
Why?
Two old lectures of mine cover the reasoning.
Excessive caruncle exposure can give the face a harsh, sharp expression.
I performed the reversal on this patient using the transposition flap technique I published in 2019.
See my paper.
The pre-op photo above shows the 100 percent caruncle exposure in front.
Immediately after surgery, the marked area where caruncle exposure needed to be reduced is now appropriately closed.
One week post-op. Suture marks still show and there is residual swelling, but the closure is holding well.
Longer follow-up will tell us more.
Another video — I am slowly getting the hang of editing.
The most important point?