more information please...

[Guest guest]

Sorry to go back to an older message (below), but Rob I was wondering

if you could please explain this number 3 in more detail?

Alyssa's surgeons are now looking at correcting the Epicanthal folds

first. He keeps changing his mind as to what to do which to us is a

bit of a worry. He talks of making a 'cut' to open the eye and that

there will be quite abit of scarring in the way of a knot which will

need regular massage to help disolve the scar somewhat. At times I

wonder if he really knows what he's doing. We aren't able to 'shop'

around and get 2nd opinions as most of you overseas. His explanation

almost seems primitive to us. He hasn't mentioned anything about

transnasal wiring. Doesn't this have to be done as part of the

surgery? Or can one have the epicanthal surgery without moving the

tear ducts? Please can someone explain all of this in more detail to

us? We are very concerned that the surgeon isn't doing the 'right'

type of surgery. We are confused and concerned as to what to do now.

Thanks heaps,

operation. Can anyone also tell me please....is

>>there different techniques to correct the Epicanthus Folds?

There have apparently been many techniques cited over the years. Among

recent work, & Nowinski (Arch Ophthalmol 1989;107;448-452)

list

the three best as: (1) Mustarde's five-flap " jumping man " , (2)

's

modification of the Blair technique (whetever that is! sorry, no

info),

and (3) Double Z-plasties with Y-to-V flap. Their preference is for

#3,

and these days it seems to be the most common.