The top 5 institutions for resection of epicanthus in the eyes in New York City are announced!

Introduction

Epicanthus is a common eyelid condition that can affect the appearance and sometimes the function of the eyes. In New York City, a hub of medical excellence, there are several institutions renowned for their expertise in epicanthus resection. This article aims to explore the top 5 institutions in the city that offer high - quality surgical solutions for this condition, delving into their facilities, services, and the expertise of their medical teams.

Understanding Epicanthus

Epicanthus is a vertical fold of skin that covers the inner corner of the eye. It is more commonly found in Asian populations, with an incidence ranging between 40% and 90% in this ethnic group, while only 2% to 5% among non - Asians. The epicanthal fold is an uneven distribution of skin, comprising of the orbicularis oculus and medial canthal structures, that partially covers the medial corner of the eye. There are different types of epicanthal folds, and the severity can be classified based on the covered extent of the lacrimal lake and the width of the epicanthal fold. For instance, a mild case is when less than half of the lacrimal lake is covered and the width of the epicanthal fold is less than 2 mm, a moderate case has more than half but not the entire lacrimal lake covered with a fold width of 2 - 4 mm, and a severe case has the lacrimal lake completely covered with a fold width greater than 4 mm.

Epicanthus can pose challenges in achieving satisfactory cosmetic results in eyelid surgery, such as Asian double eyelid plasty. Without epicanthoplasty (the surgical procedure to correct epicanthus), a double eyelid plasty may result in an unattractive or unnatural appearance, and there can be issues like prolonged swelling due to blocked lymphatic flow and the surgical crease not looking natural or lasting over time.

Top 5 Institutions for Epicanthus Resection in New York City

1. New York Eye and Ear Infirmary of Mount Sinai

The New York Eye and Ear Infirmary of Mount Sinai (NYEE) is a leading institution in the field of ophthalmology. It is backed by two prestigious institutions, the NYEE, the first specialty hospital in America, and the Icahn School of Medicine at Mount Sinai. The hospital has a team of highly respected, board - certified, and fellowship - trained physicians who are on the faculty of the Icahn School of Medicine at Mount Sinai. These physicians are not only engaged in patient treatment but also in groundbreaking research, such as investigations into micro - interventional robotics, imaging, bioinformatics, and artificial intelligence related to eye care.

In terms of facilities, NYEE offers a wide range of advanced diagnostic and therapeutic services. It is in the process of significant transformation, with plans to open a state - of - the - art ambulatory surgery center near Madison Square Park in midtown Manhattan. This new facility will bring the institution's 200 - year - old brand of ophthalmic excellence and high - quality care to a modern setting, handling the majority of surgical procedures in a way that is more convenient for patients and surgeons. The center will also co - locate a large faculty practice of clinicians, the Shelley and Steven Einhorn Clinical Research Center, and a resident - staffed eye clinic, along with a microsurgical education center.

For epicanthus resection, the experienced oculoplastic surgeons at NYEE can utilize their comprehensive understanding of eyelid anatomy and advanced surgical techniques. They are able to provide personalized treatment plans based on each patient's unique situation, ensuring the best possible aesthetic and functional outcomes. For example, when combined with other eyelid surgeries like double eyelid plasty, they can address the specific challenges posed by epicanthus to create a more natural and harmonious appearance.

The institution has multiple locations across New York City, including on East 14th Street, Union Square, Tribeca, East 85th Street, East 102nd Street, Carle Place, and Midwood, making it easily accessible for patients.

2. Vitreous Retina Macula Consultants of New York (VRMNY)

Although VRMNY is well - known for its expertise in vitrectomy surgery, its ophthalmologists are also highly skilled in a variety of eye - related procedures, including those related to epicanthus resection. The ophthalmologists at VRMNY are experts in vitrectomy eye surgery and hold academic appointments at renowned institutions such as Lenox Hill Hospital, New York University, and the New York Eye and Ear Infirmary. Their international reputation for vitrectomy surgery reflects their high - level skills in handling delicate eye surgeries.

VRMNY operates with a state - of - the - art ophthalmology center in Manhattan, which is the largest retina vitreous center in the New York metropolitan area. The center is equipped with the latest medical technologies for eye diagnosis and treatment. This advanced equipment can also be beneficial in the preoperative assessment and postoperative follow - up for epicanthus resection cases.

When it comes to epicanthus resection, the team at VRMNY can draw on their in - depth knowledge of eye anatomy and surgical techniques. They understand the potential impact of epicanthus on overall eye function and aesthetics. For instance, they can carefully plan the surgical approach to minimize the risk of complications such as scarring, ensure proper alignment of the eyelids, and achieve a natural - looking result. Their patient - centered approach means they will thoroughly discuss the treatment options and potential risks with patients, allowing them to make informed decisions about their care.

3. Weill Cornell Medicine - Oculoplastic Surgery Service

The oculoplastic surgery service at Weill Cornell Medicine is a specialized department that focuses on plastic and reconstructive surgery of the eyelids, orbit, and lacrimal system. Oculoplastic surgeons here are ophthalmologists who have undergone additional two - year fellowships through the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), specifically focusing on plastic and reconstructive surgery in the eye area.

The service is located in multiple locations in New York City, including on the Upper East Side (1305 York Ave., 12th floor), Lower Manhattan (156 William Street, 12th floor), Tribeca (36 Worth Street), and on East 69th Street. These locations offer convenient access for patients from different parts of the city.

In the case of epicanthus resection, the oculoplastic surgeons at Weill Cornell Medicine have the expertise to handle a variety of eyelid disorders, including the typical eyelid disorders treated such as ptosis, congenital malformations, and epicanthus - related problems. They can offer numerous non - invasive, minimally invasive, and surgical treatments for periocular rejuvenation. For epicanthus resection, they take a comprehensive approach, considering the patient's overall facial aesthetics and the specific characteristics of the epicanthal fold. For example, they can accurately assess the severity of the epicanthus and choose the most appropriate surgical technique, whether it is a simple surgical correction or a more complex combined procedure with double eyelid plasty.

Weill Cornell Medicine also utilizes a multidisciplinary approach when necessary, involving dermatologists, plastic surgeons, otolaryngologists, endocrinologists, radiologists, neurosurgeons, and ocularists. This comprehensive team approach ensures that patients receive the most comprehensive and personalized care for epicanthus resection.

4. Aesthetic Plastic Surgery Clinics Specializing in Eye Procedures

There are several aesthetic plastic surgery clinics in New York City that specifically focus on eye - related procedures, including epicanthus resection. These clinics are often staffed by plastic surgeons who have extensive experience in facial aesthetic surgery, with a particular emphasis on the eyes.

These clinics typically offer a range of cosmetic and reconstructive procedures related to the eyes. They are updated on the latest surgical techniques for epicanthus resection, such as the various epicanthoplasty designs described in the medical literature. For example, they may perform V - W plasty, horizontal incision method, Z - plasty, V - Y advancement, or subcutaneous epicanthoplasty, depending on the patient's specific condition and desired outcome.

In terms of facilities, these clinics are often designed to provide a comfortable and private environment for patients. They are equipped with modern surgical equipment and follow strict safety and hygiene standards. The surgeons in these clinics take the time to have in - depth consultations with patients, understanding their aesthetic goals and concerns. They can also provide detailed preoperative and postoperative instructions to ensure a smooth recovery process.

For instance, if a patient has a mild epicanthus and desires a more natural - looking correction without excessive scarring, the surgeon may recommend a subcutaneous epicanthoplasty. On the other hand, for more severe cases, a more complex procedure like Z - plasty may be considered.

5. Ophthalmology Centers with a Focus on Cosmetic Eye Surgery

Some ophthalmology centers in New York City have a specific focus on cosmetic eye surgery, including epicanthus resection. These centers combine the medical expertise of ophthalmologists with the aesthetic knowledge required for cosmetic procedures.

The ophthalmologists in these centers have a deep understanding of eye anatomy and function. They are able to perform epicanthus resection surgeries with precision, minimizing the impact on the normal eye functions such as tear drainage and eye movement. They also have the skills to address any potential complications that may arise during or after the surgery.

These centers often invest in the latest imaging technologies for preoperative assessment. This allows them to accurately evaluate the epicanthal fold, measure the extent of tissue involvement, and plan the surgical procedure accordingly. For example, they can use high - resolution imaging to visualize the orbicularis oculus muscle and the medial canthal structures, which are important in epicanthus resection.

In addition to surgical expertise, these centers also provide comprehensive postoperative care. They offer follow - up appointments to monitor the patient's recovery, check for any signs of infection or other complications, and provide advice on wound care and scar management. This ensures that patients achieve the best possible long - term results from their epicanthus resection surgery.

Factors to Consider When Choosing an Institution for Epicanthus Resection

Expertise of the Medical Team

The experience and qualifications of the surgeons and medical staff are crucial. Look for surgeons who are board - certified in ophthalmology or plastic surgery, and who have specific experience in epicanthus resection and related eye surgeries. Surgeons with fellowship training in oculoplastic surgery are often well - equipped to handle the complexities of epicanthus resection. For example, those trained through the ASOPRS have in - depth knowledge of the latest surgical techniques and best practices in this field.

Facilities and Technology

Advanced facilities and the latest medical technologies can significantly improve the surgical outcome and patient experience. Institutions with state - of - the - art surgical suites, imaging equipment, and postoperative care facilities are more likely to provide high - quality care. For instance, a center with modern imaging technology can better assess the patient's condition preoperatively, while well - equipped postoperative care areas can ensure a safe and comfortable recovery for the patient.

Patient Reviews and Reputation

Reading patient reviews and testimonials can give you an idea of the institution's reputation. Positive reviews often indicate that patients have had satisfactory experiences in terms of the surgical results, quality of care, and patient - doctor communication. An institution with a good reputation in the medical community and among patients is more likely to provide reliable and high - quality services.

Range of Services

Consider an institution that offers a comprehensive range of services related to epicanthus resection. This may include preoperative consultation, different surgical options, and postoperative follow - up care. For example, if you may need additional eyelid surgeries or treatments in the future, an institution that can provide a full spectrum of services can be more convenient and beneficial for your long - term eye health.

Cost and Insurance

Epicanthus resection can vary in cost depending on the institution, the complexity of the procedure, and other factors. It is important to understand the cost breakdown and to check if your insurance covers the surgery. Some institutions may offer payment plans or financial assistance options to help patients manage the cost of treatment.

Common Surgical Techniques for Epicanthus Resection

V - W Plasty

In V - W plasty, a vertical W - shaped wound is created medial to the medial canthus, and the central point of the W is then split as a V towards the medial canthus. However, this technique has some disadvantages, such as requiring multiple incisions, which can lead to scar exposure and a higher risk of hypertrophic scars.

Horizontal Incision Method

A horizontal incision is made from the most medial part of the lacrimal lake to the point on the epicanthal point perpendicular to the starting point, and the extra skin fold gathered from the prior incision is removed. But this method only releases the epicanthal tension in the muscular layer and not the skin layer, and there is a higher rate of epicanthal recurrence.

Z - Plasty

A Z - shaped incision is made to create two triangular skin flaps, one containing most of the skin from the epicanthal fold and one with the skin from the medial canthal area. The two flaps are then transposed with excess skin trimmed off. However, it can lead to redundancy of the pretarsal skin near the medial canthus, convergence of a pretarsal double fold toward the lacrimal lake, and has issues with design difficulty, prominent scarring, recurrence due to excessive tension force, and rigidity of application.

V - Y Advancement

A horizontal incision is made from the edge of the epicanthal fold at the level of the mid - caruncle to the outer surface of the epicanthal fold, then the nasal skin is pulled medially to expose the lacrimal fold. The excess orbicularis oculi muscle and adhesion bands are removed to advance the V flap to repair the defect. The cosmetic outcome of this technique can be limited by the space between the lateral canthus and the lateral bony orbital wall, and it also has problems with design difficulty, prominent scarring, recurrence, and application rigidity.

Subcutaneous Epicanthoplasty

Performed in conjunction with blepharoplasty, the orbicularis muscle and underlying fibrofatty tissue in the epicanthal fold are excised and debulked through the medial edge of an eyelid crease incision. The skin is then tacked down with absorbable sutures. This technique can usually only soften but not completely eliminate the epicanthal fold.

Pre - operative and Post - operative Care

Pre - operative Care

Before epicanthus resection, patients will typically have a comprehensive preoperative evaluation. This includes an assessment of the severity of the epicanthus, such as determining