{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T08:23:40Z","timestamp":1787559820676,"version":"build-2736575974"},"reference-count":12,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T00:00:00Z","timestamp":1787356800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Background: Epiblepharon is characterized by a fold of skin that stretches horizontally across the upper or lower eyelid and is usually associated with eyelash inversion. Upper eyelid epiblepharon is relatively rare and is treated with double-eyelid surgery using a buried suture or an incisional method. To date, no reports have described a detailed treatment course for epiblepharon that simultaneously achieves aesthetic improvement and corrects eyelash inversion. Case presentations: We present the treatment outcomes of two cases of upper eyelid epiblepharon with excess skin in a 16-year-old female adolescent patient and a 35-year-old women, both treated with incisional double-eyelid surgery combined with skin excision. In both patients, eyelash inversion was corrected, double eyelids were formed, and aesthetic improvements were made. Conclusions: By accurately performing appropriate skin excision and suture placement to create double eyelids, a functionally and aesthetically satisfactory surgical outcome can be achieved in patients with upper eyelid epiblepharon.<\/jats:p>","DOI":"10.3390\/life16091386","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T08:03:41Z","timestamp":1787558621000},"page":"1386","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Incisional Blepharoplasty with Skin Excision for Upper Eyelid Epiblepharon Correction: Functional and Aesthetic Outcomes in Two Post-Childhood Cases"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6970-096X","authenticated-orcid":false,"given":"Shinjiro","family":"Kono","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Aichi Medical University Hospital, Nagakute 480-1103, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motohiro","family":"Kamei","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Aichi Medical University Hospital, Nagakute 480-1103, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1007\/s10384-019-00681-8","article-title":"Sex-specific difference in age distribution of congenital lower eyelid epiblepharon in a Japanese population","volume":"63","author":"Valencia","year":"2019","journal-title":"Jpn. J. Ophthalmol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"57","DOI":"10.3928\/01913913-20100420-01","article-title":"Epiblepharon related to high body mass index in Korean children","volume":"48","author":"Ahn","year":"2011","journal-title":"J. Pediatr. Ophthalmol. Strabismus"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"103938","DOI":"10.1016\/j.jaapos.2024.103938","article-title":"Congenital epiblepharon in Chinese school-age children: A cross-sectional study","volume":"28","author":"Huang","year":"2024","journal-title":"J. Am. Assoc. Pediatr. Ophthalmol. Strabismus"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e685","DOI":"10.1097\/GOX.0000000000000667","article-title":"Blepharoplasty with a buried double twisted suture technique to correct upper eyelid epiblepharon","volume":"4","author":"Choi","year":"2016","journal-title":"Plast. Reconstr. Surg. Glob. Open"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"156501","DOI":"10.1155\/2014\/156501","article-title":"The clinical characteristics and surgical outcomes of epiblepharon in Korean children: A 9-year experience","volume":"2014","author":"Kim","year":"2014","journal-title":"J. Ophthalmol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.ophtha.2009.06.044","article-title":"Epiblepharon in East Asian patients: The Singapore experience","volume":"117","author":"Sundar","year":"2010","journal-title":"Ophthalmology"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1159\/000112626","article-title":"Correction of epiblepharon of the upper eyelid by the buried suture technique: Correlation with morphological features of the upper eyelid","volume":"222","author":"Lew","year":"2008","journal-title":"Ophthalmologica"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1218","DOI":"10.1097\/SCS.0000000000008336","article-title":"Adjustable medial epicanthoplasty using a rotational flap for epiblepharon repair","volume":"33","author":"Mimura","year":"2022","journal-title":"J. Craniofac. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1016\/j.ajo.2010.05.001","article-title":"Prognosis of upper eyelid epiblepharon repair in down syndrome","volume":"150","author":"Lee","year":"2010","journal-title":"Am. J. Ophthalmol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1001\/archopht.1978.03910050554013","article-title":"Epicanthus and epiblepharon","volume":"96","author":"Johnson","year":"1978","journal-title":"Arch. 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Open"}],"container-title":["Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-1729\/16\/9\/1386\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T08:17:30Z","timestamp":1787559450000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-1729\/16\/9\/1386"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,22]]},"references-count":12,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9]]}},"alternative-id":["life16091386"],"URL":"https:\/\/doi.org\/10.3390\/life16091386","relation":{},"ISSN":["2075-1729"],"issn-type":[{"value":"2075-1729","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,22]]}}}