Epicanthoplasty

Epicanthoplasty sometimes referred to as "Westernization" is a type of eye surgery to remove the presence of epicanthal folds. It is considered to be a challenging procedure by some surgeons because the epicanthal folds overlay the lacrimal canaliculi (tear drainage canals).

It often leaves scar lines visible post surgery. A common technique involves using what a called a "Z" plasty.

Currently, epicanthoplasty is widely carried out in East Asian countries as it is seen beneficial for cosmetic reasons, to provide a more accepted standard of beauty. This procedure rose to fame when Asian eyes were not understood or accepted by westerners, and were seen as ugly traits. Asians who immigrated to the U.S. who opted to have Asian blepharoplasty, "double eyelid" surgery which involves the creation of a crease in the upper eyelid, also had their epicanthal fold removed in one operation. The removal of the epicanthal fold gives a more Caucasian appearance and attempts to rid the patient of their ethnic look, but usually the patient still does not look generally Caucasian, as the results of the surgery are often minimal. "Double eyelid" surgery also attempts to rid the patient of their ethnic appearance, as epicanthic eyes consist of a single eyelid, whereas the eyelids of other races have double eyelids. Sadly, the results of these surgeries are usually minimal, as the double eyelid fails to be as significant as those of other races.