To explore an epicanthoplasty with a good aesthetic effect and a small scar we designed a modified Y-V epicanthoplasty to raise and enlarge the medial canthus. From January 2006 to April 2009, 68 patients were treated with this method, using a simple procedure to eliminate the medial epicanthal fold of the upper eyelid. Scarring of the medial canthal area has not been a problem with this technique because we designed incisions along the eyelashes and the skin-mucosal junctions. By raising the point of the new medial canthus to a particular physiological position, the angle of medial canthus is enlarged to reveal the lacrimal lake. Our technique is a simple, graded procedure that leaves no visible scar.