Is epicanthoplasty necessary to create a parallel crease? Or can an Asian blepharoplasty alone create a parallel crease? (Photo)

It is quite possible to create parallel crease without medial epicanthoplasty. It all depends on the size of the crease. Your photo shows pretty good size of eye, so 7mm fold will be ok without medial epicanthoplsty.

Thank you for sharing your question and photo. It appears that a parallel crease should be possible with blepharoplasty without the need for epicanthoplasty. Make sure to be evaluated in person by an experienced oculoplastic surgeon. Good luck.

Thank you for your question.  Often times, a medial epicanthoplasty has to be done in conjunction with an Asian blepharoplasty if the patient desires a parallel crease but the strong epicanthal folds prevent the crease from becoming parallel and instead create a tapered appearance. Looking at your photo, your epicanthal folds are not very pronounced so your surgeon might be able to create a parallel crease without performing a medial epicanthoplasty. Good luck!