Incisional Blepharoplasty with Skin Excision for Upper Eyelid Epiblepharon Correction: Functional and Aesthetic Outcomes in Two Post-Childhood Cases.

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.