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We can convert easily an infold-type crease to in-outfold type crease by a combined epicanthoplasty and double eyelidplasty. (A) Preoperative view. (B) An epicanthoplasty resolved the vertical skin tension and orbicularis muscle displacement for a higher crease formation. Combined epicanthoplasty and double eyelidplasty, with a lateral canthoplasty 2 years postoperative . There are cosmetic lenses on the eyes.
