AIM: To explore a simple, flexible and effective approach for medial canthoplasty combined with upper eyelids blepharoplasty aiming to achieve the natural and ideal appearance of eyelid.

METHODS: From September 2011 to May 2015, 62 cases(124 eyes)had received canthoplasty combined with upper eyelids blepharoplasty for single-folding eyelids and epicanthus were enrolled. Following the common upper eyelid blepharoplasty, an incision was prolonged to the medial canthus and was subsequently embedded within the double eyelid line. To decrease the skin tension, the canthal ligament was decompressed. Depending on the ideal appearance of the canthus, the upper eyelid and canthus were reformed next to the removal of excess skin. Patients were followed up for 3mo to 1a. At 3, 6mo and 1a, patients were investigated for the appearance of the canthus and the cicatrices.

RESULTS: Totally 57 cases(114 eyes)had 1 to 12 months' follow-up. In these 57 cases, 51 patients satisfied with the permanent double eyelids and corrected epicanthus, 6 cases' eyelids(12 eyes)appearance were improved partly. No recurrent epicanthus or hyperplastic scar was found in our study.

CONCLUSION: This approach combines medial canthoplasty with upper eyelids blepharoplasty to expose the canthus widely, hide the incision and scar, decrease the skin tension efficiently and remove the excess skin flexibly, which is an ideal method to correct epicanthus and single upper eyelids.