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조세흠 大韓成形外科學會 1996 Archives of Plastic Surgery Vol.23 No.6
There is more incidence of epicanthus in oriental and shows unacceptable appearence. Recently many corrective methods of epicanthoplasty are reported by plastic and reconstructive surgeon. Usually epicanthoplasty was made simmultaneously with double fold operation. Epicanthal area is a delicated one because of scar formaion after epicanthoplasty. Especially Jumping man's J procedure and double opposing Z-plasty remained long and zigzag scar. Other procedure, modified Y-V advancement flap has many merits : it remains short scar, scar line become harmonious with double fold line, it's technique is easy and simple and it takes short time. During the operation, we laid emphasis on the balance of esthetic view and on reducing hypertrophic scar. A total of 17 patients were reviewed from Mar. 1989 to Feb. 1994 with a mean follow-up period of 15months. They were 15females and 2males. The ages range from 17 to 43years (mean 29.9 years). The operative procedures were as follows; 13cases of Y-V advancement flap, 2cases of Mustard four flap method, and 2cases of double-opposing Z-plasty. Complications are as follows; 1) hypertrophic scar 2)disharmony of fold line, and 3)undercorrection of epicanthus. The advantages of modified Y-V advancement flap procedure are as follows; 1)short scar length and no scarring across the medial canthus 2)uniformly good results 3)more esthitic effect and relatively simple procedure 4)minimal complication..
조세흠 대한성형외과학회 2003 Archives of Plastic Surgery Vol.30 No.2
Botulinum toxin type A is a neurotoxin produced by clostridium botulinum that blocks the presynaptic release of acetylcholine at the neuromuscular junction. This blockade of the neuromuscular junction is definitive, but the existence of nerve sprouting explains the reversible nature of the paralysis induced by injection of this toxin. The clinical effect appears between the 3rd and 7th day after injection. The author had experienced 218 cases from January 1999 to September 1999. We injected toxin on forehead (96 cases), glabella (91 cases), crow's feet (88 cases), neck (12 cases), nasolabial fold (9 cases), masseter muscle (8 cases), and chin (7 cases). The author obtained wrinkles decreased significantly. The effect during the period of activity of the toxin, which lasted 3 to 6 months after injection and masseter muscle area lasted 6 to 9 months. The advantage of botulinum toxin injection is the effective treatment with wrinkles in upper half of face and neck and no disturbance in daily life. The disadvantage of botulinum toxin injection is the feeling of masked face after injection, short duration, and sometimes unwilling facial expression.
조세흠,이한얼,이혜민 대한성형외과학회 2008 Archives of Plastic Surgery Vol.35 No.2
Purpose: Generally speaking, most of Korean have smaller eyes than those of Caucasian and they have epicanthus with narrow palpebral fissure. It makes external appearance looking dull because the length of the palpebral fissure is short and there is a epicanthus. In case the function of the levator muscle is weak, their eyes look much smaller. Epicanthus and weak levator muscle function make the eyes look dull. The above mentioned, authors want to introduce double eyelid operation, epicanthoplasty, levator plication to extend and lengthen the palpebral fissure.Methods: From August 2001 to August 2004, there were 138 cases that had double eyelid operation with epicanthoplasty or levator plication. the 69 cases of them had double eyelid operation and epicanthoplasty, the 33 cases of them had double eyelid operation and levator plication and the 36 cases of them had double eyelid operation and epicanthoplasty and levator plication.Results: After the operation, the length and height of the eyelid are improved remarkably, and most of the patients were satisfied. The length of the eyelid is improved 3to5mm(3.4±0.5mm) in case of the epicanthoplasty, the width of the eyelid is improved 3 to 4mm (3.1±0.3mm) by the levator plication. The length of the eyelid is improved 3to5(3.4±0.4mm) and the width is improved 2to4mm(2.9±0.5mm) by the epicanthoplasty used levator plication.Conclusion: The improvement of the eyelid length is almost the same as epicanthoplasty and levator plication are done simultaneously. But the improvement of the eyelid width is less shorter when epicanthoplasty and levator plication are done simultaneously than the case of levator plication alone. This is because there is a tension influencing on the limitation of widening palpebral fissure to fix the epicanthal tendon. This method is recommendable for the patients who want to have much bigger eyes.