Epicanthoplasty With Rotated-advanced-back Cut Flap.

BACKGROUND Epicanthoplasty is one of the most popular cosmetic surgeries in Asia. The aim of this study was to present a rotated, advanced, back cut flap (R-A-B flap) that leads to correct the congenital epicanthus effectively with satisfactory results. METHODS From January of 2017 to December of 2018, we performed the modified cut back flap epicanthoplasty to correct epicanthus. The esthetic results were evaluated with patients' feedback: perfect, good, dissatisfied, or failed. RESULTS A total of 118 patients were involved. Postoperative evaluation using a grading scale indicated "perfect' results for 86 patients (73%) and "good' results for 32 patients (27%). No patients rated the results as "dissatisfied' or "failed.' There were no significant postoperative complications. CONCLUSION The R-A-B flap for epicanthoplasty is a reliable and simple method, resulting in good cosmetic outcome with minimal scar formation.