In the realm of Asian aesthetic surgery, medial epicanthoplasty remains one of the most frequently requested yet technically sensitive procedures. As detailed by Wong Chin-Ho, MRCS(Ed), FAMS(Plast Surg), and Hsieh Michael Ku Hung, MRCS(Ed), FAMS(Plast Surg) in their 2025 study published in Plastic and Reconstructive Surgery , the epicanthal fold—a fibromuscular web covering the medial canthus and often obscuring the caruncle—is present in up to 90% of Asian patients. While pa