Efficacy of Early Application of 1540 nm Non-ablative Fractional Laser and Silicones to Improve Post-epicanthoplasty Scars

Zhang, Bingyan; Yang, Enyue; Zhang, Hengshu

doi:10.1007/s00266-022-02866-y

Cited by 5 publications

(4 citation statements)

References 29 publications

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“…Following inner corner tightening, the previously parallel double eyelid may become tapered or fan-shaped. In other words, the eye shape prior to epicanthoplasty may give the impression of being elongated and sharp, but after the procedure, the eyes may appear rounder and the length of the palpebral ssure may shorten [12,13,14,15] . After epicanthoplasty, the skin tension in the corner of the eye is already taut, so in the earlier stages after the procedure, there may be more prominent scarring.…”

Section: Resultsmentioning

confidence: 99%

The Application of Reverse Z-Plasty Design in Medial Canthal Skin Redundancy Reconstruction Surgery.

Huahui,

Xiaohui,

Jiange

et al. 2023

Preprint

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Purpose To investigate the clinical outcomes of reverse Z-plasty in the reconstruction of epicanthal fold. Methods A retrospective analysis was conducted on the clinical data of patients who underwent reverse Z-plasty for epicanthal fold reconstruction from September 2019 to January 2023. The surgical procedure involved preoperative design line incision, dissection beneath the orbicularis oculi muscle to form a muscular flap, and using the temporal side muscular flap as the reconstructed epicanthal fold. Postoperative follow-up included assessing the degree of epicanthal fold reduction, the appearance of the epicanthal fold, incision scars, and patient satisfaction. The intercanthal distance was measured in all patients before surgery and at 6 months postoperatively, and the paired t-test was used for statistical analysis with a significance level of P < 0.05 indicating statistical significance. Results A total of 16 patients (15 females, 1 male) with an average age of 32 years (range: 17–38 years) were included in the study. All patients had a follow-up period of at least 3 months, with an average follow-up of 7 months. Patient satisfaction evaluation showed that 13 patients were very satisfied, 3 patients were satisfied, and there were no cases of dissatisfaction. The degree of exposure of the lacrimal prominence decreased in all patients, the shape of the epicanthal fold was natural, the size of bilateral eyelid fissure was appropriate, and the parallel double eyelids were transformed into fan-shaped double eyelids. The appearance of the incision scars was not prominent and the lines were smooth. The increase in intercanthal distance ranged from 3 to 6mm, with a range of ICD elongation ratio from 9.09–28.30%. The preoperative measurement of intercanthal distance ranged from 28 to 35.0mm, with a mean of 31.25 ± 2.32mm, and the postoperative measurement was 35.19 ± 2.26mm. The difference was statistically significant (t=-4.793, P < 0.001). There were no urgent or discomfort sensations in eye movement, and the results were satisfactory. Conclusion Reverse Z-plasty design is suitable for epicanthal fold reconstruction. The incision design is clear and precise, and the postoperative outcomes are stable, achieving successful reconstruction of the epicanthal fold.

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Section: Resultsmentioning

confidence: 99%

The Application of Reverse Z-Plasty Design in Medial Canthal Skin Redundancy Reconstruction Surgery.

Huahui,

Xiaohui,

Jiange

et al. 2023

Preprint

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show abstract

“…In other words, the eye shape before epicanthoplasty may give the impression of being elongated and sharp, but after the procedure, the eyes may appear rounder, and the length of the palpebral fissure may shorten. [12][13][14][15] After epicanthoplasty, the skin tension in the corner of the eye is already taut, so in the earlier stages after the procedure, there may be more prominent scarring. However, over the course of 3 to 6 months, the scar will fade.…”

Section: Discussionmentioning

confidence: 99%

“…Following inner corner tightening, the previously parallel double eyelid may become tapered or fan-shaped. In other words, the eye shape before epicanthoplasty may give the impression of being elongated and sharp, but after the procedure, the eyes may appear rounder, and the length of the palpebral fissure may shorten 12–15 . After epicanthoplasty, the skin tension in the corner of the eye is already taut, so in the earlier stages after the procedure, there may be more prominent scarring.…”

Section: Discussionmentioning

confidence: 99%

The Application of Reverse Z-Plasty Design in Medial Canthal Skin Redundancy Reconstruction Surgery

Huahui,

Dan,

Jiange

et al. 2024

Journal of Craniofacial Surgery

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Purpose: To investigate the clinical outcomes of reverse Z-plasty in the reconstruction of epicanthal fold. Methods: We conducted a retrospective analysis on clinical data from patients who underwent medial canthal skin redundancy reconstruction surgery from September 2019 to January 2023. The surgical procedure involved a preoperative design for the incision line, suborbicularis oculi dissection to create a muscle flap, and the use of a reverse Z-flap for the reconstruction of the lateral canthal fold. Postoperative follow-up assessments focused on the intercanthal distance, positional changes of the medial canthus point, alterations in the medial canthus angle, and patient satisfaction levels. The statistical evaluation was carried out utilizing paired t-tests, with a P-value of less than 0.05 denoting statistical significance. Results: Postsurgery, the lacrimal prominences were less exposed, and inner canthal angles naturally reshaped. Inconspicuous scarring with diminished reverse Z-plasty marks was noted within 3 months. The average ICD has increased by 3 to 6 mm, corresponding to elongation ratios of 9.09% to 28.30%. Preoperatively, the ICD averaged 31.25±2.32 mm, expanding postoperatively to 35.19±2.26 mm. The canthal angle enlarged significantly from 49.031±6.627 to 62.188±6.662. Inner canthal points shifted notably postsurgery, with a decrease in x-value and an increase in y-value, signalling a movement upwards and away from the nose. Patient satisfaction is high. Conclusion: The reverse Z-plasty technique has proven to be an effective approach for reconstructing the epicanthal fold. The clarity and precision of the incision design, coupled with the stability of postoperative results, demonstrate that this method can reliably achieve successful epicanthal fold reconstruction.

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“… 46 Moreover, the efficient production of post-epicanthoplasty scars can be enhanced by early NAFL therapy in conjunction with silicones. 47 Besides, Taheri et al discovered that NAFL (1540 nm) is a viable and secure treatment option for atrophic cutaneous leishmaniasis scars which is one of the endemic illnesses in Iran, especially in those with darker skin. 48 …”

Section: Lasermentioning

confidence: 99%

Advances in Photoelectric Therapy for the Early Intervention and Treatment of Traumatic Scars

Zhang¹,

Wang²,

Huang³

2023

CCID

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Traumatic scar is a disease that affected approximately tens of millions of patients worldwide. According to the histological and morphological properties of scars, the traumatic scar typically includes superficial scar, atrophic scar, hypertrophic scar, and keloid. Its formation is a natural consequence of wound healing, regardless of whether the wound was caused by trauma or surgery. However, the production of scars has considerable impacts on the physical and mental health of patients, even causing substantial aesthetic and functional impairments. Prevention or early treatment of scars is the most suitable therapeutic method, including surgical and non-surgical procedures; nevertheless, the benefits of non-operative therapies for scars are quite limited, and surgical treatments are always hard to achieve satisfying outcomes. Through the application of innovative technologies such as lasers, intense pulsed light, and radiofrequency, significant progress has been made in the treatment of traumatic scars. This review highlights the current advancements of photoelectric therapy for the prevention and treatment of various traumatic scars, which may throw light on innovative therapeutic options for scar therapies.

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Efficacy of Early Application of 1540 nm Non-ablative Fractional Laser and Silicones to Improve Post-epicanthoplasty Scars

Cited by 5 publications

References 29 publications

The Application of Reverse Z-Plasty Design in Medial Canthal Skin Redundancy Reconstruction Surgery.

The Application of Reverse Z-Plasty Design in Medial Canthal Skin Redundancy Reconstruction Surgery.

The Application of Reverse Z-Plasty Design in Medial Canthal Skin Redundancy Reconstruction Surgery

Advances in Photoelectric Therapy for the Early Intervention and Treatment of Traumatic Scars

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