Skin redraping for correction of lower eyelid epiblepharon combined with medial epicanthal fold: a retrospective analysis of 286 Asian children

Objective This study was performed to evaluate the clinical effect of skin redraping on lower eyelid epiblepharon accompanied by a medial epicanthal fold. Methods This retrospective case series involved 572 eyes of 286 patients who underwent skin redraping surgery to treat lower eyelid epiblepharon accompanied by a medial epicanthal fold from January 2015 to May 2019. The postoperative surgical results were classified as “good”, “fair” and “poor”. The incision scars were assessed using the Vancouver scar scale. The patients’ subjective satisfaction and incidence of complications were also documented. Results The mean patient age at the time of surgery was 6.9 ± 3.6 years (3–12 years), and the mean follow-up time was 32.6 ± 13.5 months (6–58 months). The clinical symptoms and severity of keratopathy were improved postoperatively. “Good” surgical outcomes were obtained in all patients, the mean Vancouver scar scale score was 1.1 ± 0.3, and hypertrophic scar formation did not occur. A total of 272 patients and their guardians were “very satisfied” with the cosmetic outcomes. Conclusion Skin redraping was effective and endurable in the treatment of lower eyelid epiblepharon accompanied by a medial epicanthal fold. The postoperative scars were slight and nearly invisible, and no cases of recurrence were observed in this study.