Abstract: Objective To observe the effect of widening palpebral fissure by double-folded blepharoplasty combining with epicanthoplasty and lateral canthoplasty. Methods Epicanthus was corrected by modified method of transection and longitudinal suture, and lateral canthoplasty was carried out by upper palpebral flap crossing lower eyelid conjunctiva flap. Double-folded blepharoplasty used the method of incision and the incisions of double eyelid, inner and outer canthus were not connected. Results In 20 patients, epicanthus was disappeared, inner canthus and out canthus were respectively 5-8 mm and 2-3 mm wider after operation, and palpebral fissure obviously opened. The follow-up period ranged from 1 to 2 years. The effect of widening palpebral fissure kept stable with inconspicuous scar in inner and outer canthus. Conclusion Double-folded blepharoplasty combining with epicanthoplasty and lateral canthoplasty can significantly increase the length and width of palpebral fissure with inconspicuous scar in inner and outer canthus, and is an effective method to widen the palpebral fissure.

Key words: Double-folded blepharoplasty, Epicanthoplasty, Lateral canthoplasty