Objective To investigate a modified epicanthoplasty with simple design and inconspicuous scarring. Methods The modified epicanthoplasty was performed on 52 patients from March 2012 to Dec 2015. The procedure involves resection of redundant skin fold, manipulation of the malpositioned orbicularis oculi muscle, and exposure of the real medial canthus. Results The follow-up period ranged from 3 to 36 months. Most patients were satisfied with the results and none com-plained about visible scarring, because the only incisions were hidden in supratarsal and subciliary incisions. The epicanthal fold was effectively removed and the aesthetic eye contour was achieved. No patients experienced relapse of the epicanthal fold. Conclusion The modified epicanthoplasty corrects the epicanthal folds effectively. The technique is simple with incon-spicuous scarring.