Identifying Aesthetically Appealing Upper Eyelid Topographic Proportions.

Area of Science:

• Ophthalmology
• Plastic Surgery
• Facial Aesthetics

Background:

• Upper eyelid procedures aim to achieve ideal proportions between the pretarsal space and upper lid fold.
• Restoring or creating aesthetically pleasing eyelid proportions is a key goal in oculoplastic surgery.

Purpose of the Study:

• To define the topographic features that characterize an attractive upper eyelid.
• To identify quantifiable metrics associated with upper eyelid aesthetic appeal.

Main Methods:

• Analysis of 294 Caucasian female eye photographs from public media.
• Subjective rating of eye attractiveness by 6 evaluators using a 4-point Likert scale.
• Quantitative analysis of eyelid features (pretarsal show, peak locations) using Adobe Illustrator for attractive and unattractive eyes.

Main Results:

• Attractive eyes exhibited significantly larger lateral ratios of upper lid fold to pretarsal show compared to unattractive eyes.
• Key features such as the lash line peak, lid crease peak, and brow peak were significantly more lateralized in attractive eyes.
• While decreased pretarsal show was noted, significant variability suggests other factors contribute to eyelid attractiveness.

Conclusions:

• Attractive upper eyelids are characterized by reduced pretarsal show and progressive lateralization of the lash line, lid crease, and brow peaks.
• These findings offer insights into the specific geometric and topographic features contributing to upper eyelid aesthetics.
• Knowledge of these attractive eyelid features can guide surgeons in optimizing outcomes for upper lid rejuvenation procedures.