Many Asian people want to have bigger eyes. It is one of the
reasons of why high out-fold upper eyelids are made. We
corrected out fold to in-fold or neutral-fold. The purpose of this
study is to introduce operation procedures. The authors corrected
out folds of 32 patients with medial orbital fat slide down
anchoring method, 15 patients with fat graft and 13 patients who
had ptosis with the levator advancement-Muller tucking method,
and removed epicanthic folds of 11 patients. Follow-up ranged
from 3 months to 4 years. The authors used medial orbital fat
slide down anchoring method to correct out folds of 32 patients
and all patients were satisfied with the results. Eleven of 15
patients who had fat graft were satisfied with the results. All
patients who had ptosis were satisfied with the results.
Generally, out fold can be corrected by the medial orbital fat
slide down anchoring method. If orbital fat is not sufficient, fat
graft will be a method for correction. Levator advancement -
Muller tucking is a good method for ptosis, and epicanthoplasty
is helpful for those who have epicanthic folds to make their eyes
bigger.