Asian eyes are unique, besides the creased eyelids and thick orbital fat layer; their medial canthus is also different from other races. Asians frequently have a shortened palpebral fissure owing to the presence of an epicanthal fold nasally, which fans out gently into the creaseless skin or merges into a shallow crease. This makes their eyes look small and close to each other, in addition to the un-creased eyelid, distinctive eyes and flat nose bridge, the overall look becomes flat.
For those who wish to have bigger eyes like a doll, they may opt for medial epicanthoplasty to brighten the eyes, besides double eyelid surgery.
Medial epicanthoplasty is done by removing a wedge of skin at the inner portion of the eyelid. This can dramatically open up the eyes and greatly improves the appearance.
Therefore, people with obvious medial canthus and un-creased eyelids may go for medial epicanthoplasty and double eyelid surgery concurrently, together with nose augmentation surgery, if the nose bridge is flat, to achieve an overall effect.