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Lih-Ren Plastic Surgery Clinic, Taipei,Taiwan www.LRclinic.com.tw Lih-Ren Jong, M.D. Board Certificated Plastic Surgeon Introduce what is epicanthal fold: Epicanthal fold is also called Mongolian fold, which refers to a small piece of skin on the inner side of the upper eyelid. The caruncle is a small piece of red flesh at the inner side of the eye. We simply divide the epicanthal foldinto three types: 1: The caruncle is fully exposed. 2: The caruncle is covered by epicanthal fold in some way. 3: The epicanthal fold completely covers the caruncle . There are two kinds of double fold at the inner end. One is outside fold and the other is inside fold. Eye with outside fold looks brighter and bigger than inside fold. It is the preferred eye shape now. But in some people epicanthal fold interferes with the formation of outside fold. Then epicanthoplasty should be added. The existence of epicanthal fold will make the eyes smaller and the distance between the eyes longer. After the epicanthal fold is removed by epicanthoplasty, the eye distance will become shorter and the eyes will become longer. In some patients, the curvature of the double fold in the inner side after double eyelid operation is too steep, just go straight down like a slide. It is inside fold. After epicanthoplasty, the double fold will be flat on the inner side and become outside fold. #LRClinic #epicanthoplasty #bigeyes #surgery #plastic