Epicanthoplasty
The epicanthal fold (epicanthus) is a term for the flesh and skin of the upper eyelid that run from the inner corner of the eye down to below the medial canthus,
covering part of the front of the eye like "a curtain drawn over a window."
In a normal eye, the white areas in front of and behind the iris should be in balance around it. When the front of the eye is covered by the epicanthal fold, however, the white is hidden and the irises appear drawn inward; this is called pseudostrabismus.
When pseudostrabismus is resolved with epicanthoplasty, the eyes take on a softer look.
However, the epicanthal fold is not made up of skin tissue alone, so skin excision alone cannot produce a satisfactory result.
The fold is in fact caused by altered orbicularis oculi muscle tissue in the upper eyelid, fibrous tissue, skin under tension, and other factors,
and these must be resolved at the root for the eyes to look natural.
