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Background:Blepharoplasty,without correction of the epicanthal folds,weakens the aesthetic appearance of the results.Hence,a modified Z-plasty procedure with double eyelidplasty was carried out for different degrees of epicanthus.Methods:From 2005 to 2010,the authors performed epicanthoplasties using the modified Z-plasty and double eyelidplasty for 322 Chinese patients.