Evidence map›Paper›PMID 41367314›Full record

ReviewJournal of cosmetic dermatology2025

Minimizing Postoperative Scars in Epicanthoplasty: A Concise Review.

Fredrik A Fineide, Richard C Allen, Elin Bohman, Kim A Tønseth, Tor P Utheim, Ayyad Z Khan

Abstract readReview
In one paragraph

Review in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Fredrik A FineideDepartment of Plastic and Reconstructive Surgery, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0003-3835-8772
Richard C AllenDepartment of Ophthalmology, Dell Medical School, University of Texas at Austin, Austin, Texas, USA.
Elin BohmanOculoplastic and Orbital Services, St. Erik Eye Hospital, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-3125-9704
Kim A TønsethDivision of Surgery and Specialized Medicine, Oslo University Hospital, Oslo, Norway.
Tor P UtheimDepartment of Plastic and Reconstructive Surgery, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0002-3821-6777
Ayyad Z KhanDepartment of Ophthalmology, Østfold Hospital Trust, Moss, Norway.ORCID https://orcid.org/0000-0002-2048-225X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe epicanthal fold is a fibromuscular skin fold covering the medial aspect of the eye. Upper double eyelid blepharoplasty and epicanthoplasty have become the most frequently performed cosmetic surgeries in Asia. However, many surgeons have expressed concern for hypertrophic scarring following epicanthoplasty. Therefore, exploring scar-minimizing techniques should interest surgeons performing epicanthoplasty, especially since most candidates for this type of surgery are more susceptible to hypertrophic scarring due to genetic factors.

objectivesThis review aims to contribute to reducing post-epicanthoplasty scarring by presenting a synopsis of the existing medical literature on scar-minimizing strategies for medial epicanthoplasty.

methodsPubMed and EMBASE searches were conducted on October 25, 2025, and following screening, 85 publications were included.

resultsAs novel techniques have increasingly focused on tension release within the epicanthal fold, most procedures are now well-tolerated with a low recurrence rate and a high degree of patient satisfaction.

conclusionsWhile numerous techniques have been described, no single method suits all cases. Based on trends in the literature, the skin redraping technique appears to be a versatile option with limited scarring in diverse scenarios, though this inference is not supported by randomized or prospective comparative data. Prospective, randomized studies are needed to compare the efficacy and cosmetic outcomes of different approaches for different degrees of epicanthal folds.

Indexed as

BlepharoplastyCicatrixCicatrix, HypertrophicEyelidsPostoperative ComplicationsHumansPatient Satisfaction

Identifiers

PMID41367314
PMCPMC12690353

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.