BACKGROUND: The presence of an epicanthal fold is a distinctive characteristic of the eyelids in Asian population. Various medial epicanthoplasty techniques have been introduced to achieve aesthetic appearance. The objective of this article is to describe our modification of the previously performed medial epicanthoplasty procedures, minimizing deterioration of the original ciliary position and maximizing natural appearance. METHODS: From December of 2011 to February of 2013, total 386 patients with epicanthal folds have undergone medial epicanthoplasties using modified skin redraping method. The design of a new medial epicanthus, subciliary line of the lower eyelid and supratarsal fold line is crucial to this method. Intramuscular dissection and myotomy of the preseptal orbicularis oculi muscle are necessary to obtain natural eyelid position. RESULTS: Most of the patients showed satisfactory results aesthetically during the follow up period; from 3 months to 12 months, a mean of 7.5 months postoperatively. There was no recurrence of the epicanthal fold. There was not any patient who complained about postoperative complications including ectropion and visible scars around the medial canthal area. CONCLUSIONS: The results indicate that medial epicanthoplasty using a modified skin redraping method is reliable and feasible procedure to correct epicanthal fold maintaining natural eyelid appearance.