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Anthropometry Analysis of Beautiful Upper Eyelids in Oriental: New Eyelid Crease Ratio and Clinical Application

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  • Oculoplastic
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Abstract

Background

Beautiful upper eyelids can make one feel more attractive and confident. However, the definition of a beautiful upper eyelid in Orientals is still not defined. The aim of this study was to define the most beautiful upper eyelids in Orientals.

Methods

Participants, who met the inclusion criteria such as Asian ethnic, ages between 18 and 25 years, and double eyelid fold, were conducted. Double upper eyelids were classified into three groups, group A: most beautiful; group B: average; and group C: less beautiful upper eyelid, by plastic surgeons and beauty contestant winners. Eleven linear measurements and type of epicanthal fold were analyzed.

Results

A total of 153 participants were included, 66 were male and 87 were female. The mean ages were 21.45 years in males and 21.41 years in the female group. The vertical distances of the palpebral fissure, height of the double fold, height of the lid crease and height of the closed upper eyelid were found to be significantly different between the most, average and less beautiful upper eyelids in both males and females. The type 1 epicanthal fold was the most common in the most beautiful upper eyelid group.

Conclusion

The most beautiful double upper eyelids in Orientals demonstrated a higher vertical palpebral fissure, double eyelid fold, and height of eyelid crease than the average and the less beautiful double upper eyelids. The ratio of height of lower margin of eyebrow to eyelid crease: Height of eyelid crease is 1.2:1 to create the beautiful double upper eyelids. However, preoperative consultation with realistic expectations is important.

Level of Evidence V

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Acknowledgements

The authors thank Miss Jinnita Buddee (Miss Thailand World 2016), Miss Warochasiri Thongchon (Miss Thinn Thai Ngarm 2015), and Miss Charatchada Pithakbud (Miss Thinn Thai Ngarm 2016) to be the judges and thank BB clinic for support all three beauty contestant winners to participants in this article. The authors also thank Supak Cae-ngow, statistician and research assistant at the Office of Research Development at Phramongkutklao College of Medicine, for kind help with the statistical analysis of this article.

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Authors and Affiliations

  1. Division of Plastic and Reconstructive Surgery, Department of Surgery, Phramongkutklao Hospital and Phramongkutklao College of Medicine, 315 Ratchawithi Road, Thung Phayathai, Ratchathewi, Bangkok, 10400, Thailand

    Chairat Burusapat, Sineenard Thanapurirat, Nutthapong Wanichjaroen, Chatchai Pruksapong, Akaradech Attainsee & Suttisan Jankajorn

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  1. Chairat Burusapat
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  2. Sineenard Thanapurirat
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Correspondence to Chairat Burusapat.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

The ethical committee approved this study (Registration Number: TCTR20180710006 in the name “Antropometry analysis of beautiful eye in Asian eyelid”). Trial database registered: Thai Clinical Trials Registry (TCTR) (Member of WHO Registry Network). Registration Number: TCTR20180710006 in the name “Antropometry analysis of beautiful eye in Asian eyelid.” Date registered: 8 July 2018.

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Written informed consent was provided by all participants.

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Burusapat, C., Thanapurirat, S., Wanichjaroen, N. et al. Anthropometry Analysis of Beautiful Upper Eyelids in Oriental: New Eyelid Crease Ratio and Clinical Application. Aesth Plast Surg 44, 392–410 (2020). https://doi.org/10.1007/s00266-019-01536-w

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  • DOI: https://doi.org/10.1007/s00266-019-01536-w

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