A novel Z-L epicanthoplasty: A combined transposition and advancement flap dual approach

A pronounced epicanthal fold is a common feature that presents in 50-90% of the Asian population; it will not only cause the eyes to look small but will also cause a deformity when a double eyelid blepharoplasty is performed, restricting the formation of a preferable outer-type double eyelid. Moreover, the wide intercanthal distance (ICD) arising from the epicanthal fold would diminish the aesthetic appearance, giving the impression of a collapsed nasal bridge.