{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:55:46Z","timestamp":1792788946414,"version":"4.5.0"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>PURPOSE:<\/jats:title>\n                    <jats:p>Epicanthus is a term that refers to the semilunar eyelid skin fold over the medial aspect covering the medial canthal angle. Epicanthus tarsalis is the most common type and is most evident in the Asian population with a prevalence of 40% as opposed to 2%\u20135% in the non-Asian population. Epicanthoplasty has not been studied in patients of a population of heavier skin pigmentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>A retrospective review of patients that underwent Park\u2019s modified Z-epicanthoplasty from January 2018 to August 2020. They were categorized based on their Fitzpatrick skin type. Their preoperative and postoperative pictures were analyzed for epicanthal fold correction with focus on scar visibility, pigmentation, and elevation. The patients were contacted over the phone for a questionnaire about their subjective scar assessment and satisfaction rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      A total of 35 patients with mild epicanthus tarsalis were included in this study. Twenty-two patients had Fitzpatrick skin type 3, seven patients had type 4, and six had type 5. Normal postoperative scar pigmentation was reported 37.1% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 13) of patients. Scar hypopigmentation was reported in 28.6% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 10) and scar hyperpigmentation was reported in 34.3% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 12). The final cosmetic satisfaction rate score was a median of 9\/10 on the 1\u201310 scale with 40% recording 10\/10 satisfaction. On the scar visibility scale, the median was 3\/10. About 82.9% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 29) had no scar elevation or hypertrophy. Only one patient had scar hypertrophy and elevation and three patients had a vertical depression scar. No clinical or statistical significance was found when correlating scar visibility and pigmentation with Fitzpatrick skin type.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Epicanthoplasty is a commonly performed surgery, especially in China and South Korea. In our population, Z-epicanthoplasty has proven to be effective in epicanthus tarsalis with high cosmetic satisfaction rate, low scar visibility, and acceptable scar pigmentation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/sjopt.sjopt_54_22","type":"journal-article","created":{"date-parts":[[2023,12,10]],"date-time":"2023-12-10T23:19:54Z","timestamp":1702250394000},"page":"94-99","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Cosmetic outcomes of epicanthoplasty for epicanthus tarsalis"],"prefix":"10.4103","volume":"37","author":[{"given":"Dalal R.","family":"Fatani","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar S.","family":"Alsuhaibani","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adel H.","family":"Alsuhaibani","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,3,8]]},"reference":[{"key":"R1-20240830","doi-asserted-by":"crossref","first-page":"e0187690","DOI":"10.1371\/journal.pone.0187690","article-title":"Relationship between lower eyelid epiblepharon and epicanthus in Korean children","volume":"12","author":"Shin","year":"2017","journal-title":"PLoS One"},{"key":"R2-20240830","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1136\/bjophthalmol-2013-303772","article-title":"Surgical correction of epiblepharon using an epicanthal weakening procedure with lash rotating sutures","volume":"98","author":"Kim","year":"2014","journal-title":"Br J Ophthalmol"},{"key":"R3-20240830","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1097\/00002341-198601050-00001","article-title":"Oriental eyelids. 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