Epicanthal folds - toddler - medical opinion please?

True vs pseudo. In the natural formation of the toddler face a wide nasal root and tenting of oculo-nasal skin is common. The newborn & toddler face are somewhat flat in lateral profile and the midface (nose& upper lip) grow forward over the years & the earlier fold disappears. Occasionally the appearance leads some to think the kid is cross eyed if viewed from the side.