Numerous procedures to eliminate medial epicanthal folds have been described. Despite an abundance of available procedures, most surgeons are reluctant to perform medial epicanthoplasty for Asian eyelid cosmetic surgery because of frequent development of unsightly scars. The Park Z-epicanthoplasty differs from the previously described procedures by placement of the incision within, as opposed to adjacent to, the eyelid skin. The Park Z-epicanthoplasty is most beneficial in type III epicanthal folds and is also widely used for type II epicanthal folds. It is most useful for individuals seeking higher double folds and outer-parallel–type double eyelid folds.