The skin of the inner corner of the eye is tighter in Oriental races, and sometimes a longitudinal crease can be formed to obscure part of the inner canthus structure, such as obscuring more of the inner white of the eye, which can make the eye look smaller and appear to have a larger distance between the inner canthus of the two eyes, and sometimes even the appearance of internal strabismus, called pseudo-internal strabismus. An entropion correction may be considered to improve the appearance. A successful canthopexy will result in a lengthening of the eye horizontally and a reduction in the distance between the eyes, while a blepharoplasty will result in larger and more beautiful eyes. A “Z” or y-v-plasty is used to loosen the tense skin covering the inner corner of the eye to its proper position. It takes more than 3 months for the incision marks of the inner canthus to fade. Generally, the medial canthus is physiological, but individuals with microphthalmos syndrome tend to have a more severe medial canthus and may require simultaneous medial canthal ligament shortening during surgery to better improve their appearance. In addition, some traumatic scarring of the inner canthus can cause canthal redundancy, called traumatic canthal redundancy, which requires surgery more than 3-6 months after the trauma to wait for the scar to soften.