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The presence of epicanthal folds is normal in people of many, though not all, groups of East Asian and Southeast Asian descent, although many opt to have them minimized by Asian blepharoplasty. Epicanthal folds may also be seen in young children of any race before the bridge of the nose begins to elevate.
Epicanthal folds are also common in people with Down syndrome and is the origin of the (once neutral, now considered offensive) term "mongoloid."
See also Human physical appearance.