Modified Epiblepharon Repair Preserving Orbicularis Oculi Muscle

Figure 2

Modified epiblepharon repair preserving orbicularis oculi muscle. Skin incision line was made 1-2 mm below the ciliary line just below the lower punctum with lateral extension (a) Dissection was performed between the tarsus and the pretarsal orbicularis muscle (b) A small amount of pretarsal orbicularis muscle was excised (c) Eyelash rotating sutures were placed between the subcutaneous tissue of the upper skin flap and the tarsal plate in three to five points with 7–0 nylon sutures (d) To preserve the pretarsal orbicularis muscle, the skin flap was undermined carefully (e) An excess skin flap was excised (f) Medial dense fibrotic tissue and orbicularis muscle were removed under the skin flap (g) The skin was closed in a continuous manner (h).

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