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Epicanthal folds are unique feature in orientals of all ages. The formation of these folds seems to be related to tension from excessive tissue in many cases. At present the repair of epicanthal folds is most commonly performed by variation of Z-plasty, W-plasty, Y-V plasty and other methods. If we choose simple procedure to correct epicanthal folds, it will result in good effect. If we choose Uchida method or Park method, it will leave a long noticeable scar. Authors have analysed clinical results of simple excision, half Z-plasty, Uchida method and Park method. During the period of 1991-1999, 150 patients who received simple excision and half Z-plasty marked low hypertrophic scar rate, a good feasibility of technique compared to Uchida method and Park method. According to our experiences however, Uchida and Park methods marked a less recurrence rate and achieved an excellent result in correction of severe epicanthal folds. Many methods have been proposed to correct Asian epicanthal folds. Practically, it is impossible to accurately compare one technique with another. But in terms of hypertrophic scarring and feasibility of procedure, we think simple excision and half Z-plasty are better methods for correcting the mild epicanthal folds. If the patient has severe epicanthal folds, it is better to reduce the recurrence rate with Uchida and Park method.
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