Incisional Double-Eyelid Blepharoplasty Corrects Upper Eyelid Epiblepharon Concomitant with Thick Excess Skin: A Report of Two Cases

Background Epiblepharon is characterized by a fold of skin that stretches horizontally across the upper or lower eyelid, and is usually associated with inversion of the eyelashes. 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 the detailed course of treatment for epiblepharon, characterized by excess skin on the upper eyelids, that simultaneously achieves aesthetic improvement and corrects eyelash inversion. Case presentation: We present the treatment outcomes of two cases of epiblepharon of the upper eyelid with excess skin in a 16-year-old and a 35-year-old female, 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 placing sutures for double-eyelid creation, a functionally and aesthetically satisfactory surgical outcome can be achieved in patients with upper eyelid epiblepharon.