Excess skin on top of nose makes epicanthal fold. How can I get rid of it? (Photo)

Question

My epicanthal fold is a little particular because it results from excess skin on top of my nose - can I get rid of the excess skin on my nose? It's not in between my brows but on top of my nose... how can I get rid of it?

Ronald J. Edelson, MD · Answer

Epicanthal folds can be treated with either a z plasty or w plasty. There is a procedure that breaks the linear pull of the web by replacing it with a zig zag incision. I’m sure you can find cases in the internet. While not a technically difficult procedure you need to consider if the scars from the surgery are something you can accept. I try to avoid the procedure because of the scars.

Jeffrey H. Spiegel, MD · Answer

Yes!  Very often epicanthal folds come from having a low nasal dorsum.  It should be possible to raise the nose or remove some of that skin (or fill in the area) to make it look better.

Somyos Kunachak, MD - Account Suspended · Answer

Hi paigex19,If by excess skin on the top of the nose, you mean the area you have marked, it actually looks like the tear trough, but in your case, it seems to go along with your epicanthal fold. This can be improved by fillers or fat transfer along the lower eyelid area.

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