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=== High-frequency populations === The highest frequency of occurrence of epicanthic folds is found in specific populations or ethnicities: [[East Asians]], [[Southeast Asians]], [[Central Asians]], [[North Asians]], [[Polynesians]], [[Micronesians]], [[Indigenous peoples of the Americas]], [[SΓ‘mi people]] and some [[African people]] (especially among [[Khoisan]] and [[Nilotic people]]). Among [[South Asians]], they occur at very high frequencies among the [[Nepalis]], [[Bhutan]]ese,<ref name="LivingRacesofMan">{{cite web |url=https://books.google.com/books?id=qepKAAAAYAAJ |title=The Living Races of Man |first1=Carleton Stevens |last1=Coon |first2=Edward E. |last2=Hunt |author1-link=Carleton S. Coon |author2-link=Edward Eyre Hunt Jr. |date=21 April 1966 |publisher=Cape |via=Google Books}}</ref>{{better source needed|date=August 2021|reason=Coon's work contains a lot of valuable data, but as a whole it is considered pseudo-scientific today}} [[Northeast India]]ns,<ref name="LivingRacesofMan" /> [[Kirati people]] and certain [[Adivasi]]<ref name="LivingRacesofMan" /> tribes of [[East India|Eastern]] and [[South India|Southern India]]. It is also commonly found in [[North India|Northern India]], especially in [[Kashmir]]. The [[Hazaras|Hazara people]] in Afghanistan and Pakistan commonly have this trait. Some people in Eastern/Northern Pakistan have this trait. In some of these populations, the trait is almost universal. This is especially true in East Asians and Southeast Asians, where a majority, up to 90% in some estimations, of adults have this feature.<ref>{{cite journal |last1=Lee |first1=Yoonho |last2=Lee |first2=Euitae |last3=Park |first3=Won Jin |title=Anchor Epicanthoplasty Combined with OutFold Type Double Eyelidplasty for Asians: Do We Have to Make an Additional Scar to Correct the Asian Epicanthal Fold? |journal=Plastic and Reconstructive Surgery |date=2000 |volume=105|issue=5 |pages=1866-70; discussion 1871 |doi=10.1097/00006534-200004050-00040 |pmid=10809118 |url=https://journals.lww.com/plasreconsurg/Abstract/2000/04050/Anchor_Epicanthoplasty_Combined_with_OutFold_Type.40.aspx}} {{closed access}}</ref>
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