“…2,4,11 This is thought to be due to the fact that the dense fibrous tissue pulls the anterior lamella of the eyelids medially and superiorly in the lower eyelid and medially and inferiorly in the upper eyelid, thus making a vector of the cilia to fall dorsally. 12,13,14 In addition, the medial portion of the tarsus approach to the MCT, where is not enough base for anchoring the rotational suture, which may result in the under-correction of the epiblepharon. Thus, epicanthoplasty is not always but considered essential for successful epiblepharon surgery, which can be vital for visual development, especially in younger children.…”