There are two ancillary procedures unique to creation of double eyelid surgery. Most Asian patients have a degree of epicanthal fold which rounds out the “inner” aspect of the eye, sometimes limiting the degree of the double eyelid show. In patient with mild epicanthal fold, at the time of double eyelid surgery, the tissues in the inner part of the eyelid is sculptured to open up the epicanthal fold as naturally as possible, without any additional incision. In patients with severe eipcanthal fold, a formal Epicanthoplasty procedure can be performed, which advances the small flap of skin and opens up the inner part of the eyelid. However, no matter how successful the epicanthoplasty procedure is, the external scar can be visible to a discerning eye, and Dr. Kang always reserves this procedure for patients who carefully outweigh the benefit of more open inner eye versus permanently having a small visible scar in this area. Lateral canthoplasty is a procedure which attempts to widen the “outer” aspect of the eye, but by nature, “loosening” an anatomical structure rather than “tightening” can lead to a more variable result, which can create greater asymmetry between the two eyes and Dr. Kang feels that the procedure should be limited for patients with severe lateral slant of the eye.