|Before surgery, this relatively mild epicanthal fold is narrowing the horizontal opening of the eye.|
|The skin is stretched towards the nose and the proposed incisions are measured and marked.|
|The skin is incised in the shape of a Z to create two traingular flaps.|
|The flaps are dissected free from the underlying structures, but no tissue is removed. Even without pulling, the lower flap shows spontaneous partial elevation.|
|The flaps are transposed (lower flap rotated up, lower flap rotated down) and sutured.|
The operated eye appears more open and the eyelids wider at their inside corner. Following epicanthoplasty, the patient underwent incisional double eyelid surgery (not shown).
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