Epicanthus or epicanthal fold is a semi-lunar fold of skin at the inner part of the eyes, known as medial canthus, or the increased amount of folds inside the eyelid. Epicanthus might occur as a result of the muscles around the eyes being excessively strong, or due to defects in the structure of the face bones. It usually tends to form in the shape of one single extra skin on the eye, although it may sometimes occur due to some innate anomalities about the facial structure. It may make the eyes look smaller by covering the inner corner of the eyes. This problem might be encountered by 1 of every 2 people belonging to Asian race. In Turkey and Europe, this ratio is below 10%.

Types of Epicanthus

  1. Tarsalis: the fold that is more apparent on the upper eyelid.
  2. Inversus: the fold that is more apparent on the bottom eyelid.
  3. E.Palpebralis: the size of the fold is the same both on the top and bottom eyelid.
  4. Suprasiliatsi: the fold proceeds towards the lacrimal sac.

The Treatment of Epicanthus

Epicanthus’s treatment is a surgical one. Small cuts are made along the eyelid. The cut parts are replaced with prepared small, textural pieces. As a result this process, both the residue of skin is fixed, and the inner angle of the eyes are put in a normal form. The surgery is usually performed under local anesthesia. Patients can carry on living their normal lives after the surgery.

The Complications of the Epicanthus Surgery

There are usually no complications in cases of well-planned cantoplastias. However, if the planning is not done well, folds in the eyelid area might increase in number, or decays may occur in the texture of this area.

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Prof. Dr. Bekir Atik graduated from Uludağ University Faculty of Medicine in 1993. In 2002, he completed his specialty training in Plastic, Reconstructive and Aesthetic Surgery. He received the title of Associate Professor in 2007. In 2011, he started to work as a founding lecturer in the Department of Plastic, Reconstructive and Aesthetic Surgery at Istanbul Medeniyet University. He received the title of professor in 2013. In the same year, he established the Medeniyet University Micro Surgery education and research laboratory. He gave microsurgery training to over 100 local and foreign surgeons.


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