Anchor Epicanthoplasty (Ep) technique has just appeared in a couple of articles previously. There is no study on Asian Iranian subjects. The aim of this retrospective study is to report the results of blepharoplasty and anchor epicanthoplasty in Asian Iranian subjects.

Excluded were other Ep and associated eyelid / eyebrow procedures. Photography (Canon, Melville, same setting), and surgery were performed before and at least 12 months after surgery by a surgeon. Epicanthal fold (EF) severity (1: no, 2-4), intercanthal distance (ICD), upper lid margin to superior brow distance (LM-SB), brow fat span (BFS), tarsal plate show (TPS), marginal reflex distance 1 (MRD1) were recorded on photo analysis by a masked observer. While patients with grade 2 (mild) EF was just offered an anchor Ep, higher grades could choose other techniques. Manchester scar scale score (MSSS, 4-14, the higher the worse), visual analogue scale score (VAS; 0-100, the higher the better), and complications were also recorded.

Out of 204 eyelids (102 patients), 70 eyelids of 35 patients (28 females) with a mean age of 29.2 and Median follow up of 12 months were included. EF was disappeared (grade 1) in all eyelids with grade 2 (51 eyelids), 11 out of 14 with grade 3, and 1 out of 4 with grade 4. Mean ICD (3.3 mm); LM-SB (1.7-2.9 mm) and BFS (3.2-3.7 mm) at 3 different sites significantly (P<0.01) decreased. However, MRD1 (0.26 mm) and TPS (1-1.5 mm) significantly (0.01 < P < 0.04) increased. There were a high mean satisfaction score (97.3) and low mean scar score (5.3).Two eyelids (2.8%) required re-operation of epicanthoplasty.

Anchor Ep on Asian-Iranians resulted in the disappearance of EF in all grade 2 and the majority of grade 3 EF. Blepharoplasty led to significantly increase in MRD1 and TPS as well as a decrease in LM-SB and BFS.