Fig. 52.12 Epicanthoplasty (Mustarde’s method) was performed in a 36 year-old man with telecanthus. (a) Preoperative. (b) Postoperative. (c) Design of Mustarde’s method. (d) Immediately after skin closure

Split V-W advancement flap (Flowers’ method): Is a modification of Uchida’s method [11].

Uchida’s method: Is relatively simple in design and obtains geometrical excellence. Although it has the advantage of creating just a relatively short scar, it also has the disadvantage of creating an excessively long bottom side of the central flap when the severity of the epicanthic fold is moderate and an even worse one when the medial canthal area gains an obtuse angle. Further disadvantages include creating a round-shaped eye, having complications such as dog ear, producing hypertrophic scars, etc. But in entropion operation epicanthoplasty by Uchida method is helpful in the cosmetic aspect [12].

Fig. 52.13 Hughes’ simple Y-V advancement flap. (Above)

Design method. (Below) Postoperative

Fig. 52.14 A case of Hughes’ simple Y-V advancement flap. (a) Incision design. (b) After suturing. (c) Preoperative. (d) Postoperative

Fig. 52.15 A case of Uchida’s method. (a) Preoperative design. (b) One week postoperative. (c) One year postoperative

Fig. 52.16 Von Ammon’s method. (a) Design for incision. (b) Skin incision, splitting of conjunctiva, and lateral displacement. (c) Sutured incision