Background
Double eyelids are always considered as crucial aesthetic symbols. Despite numerous studies conducted on the attractiveness of double eyelids, there still remains a dearth of research on quantitative and morphological evaluation of ideal double eyelids.
Objectives
This study aimed to investigate the optimal height and morphological characteristics of ideal double eyelids.
Methods
Participants were presented with a total of 9 images, consisting of 1 single eyelid image and 8 double eyelid images featuring 2 distinct shapes and 4 varied pretarsal shows. Respondents were instructed to assign scores ranging from 1 (least attractive) to 5 (most attractive) for each image. Subsequently, the scores for each image were analyzed based on population demographics, followed by the calculation of aesthetic metrics.
Results
The whole cohort deemed images with 2 mm fold to be more attractive (p<0.001) than 1mm, followed by 3mm and 0mm (single eyelid), and finally, 4mm. Regarding morphology, significant differences were found between images with the same pretarsal shows of 3mm (p<0.001) and 4mm (p=0.026). Moreover, most sub-group analysis results were aligned with those of the cohort, with gender being the most significant factor in distinguishing double eyelid aesthetics. Besides, aesthetic characteristics of 2 mm folds were found to be comparable to appealing double eyelids in previous studies.
Conclusions
This study validates the optimal heights and morphology of double eyelids, thereby addressing the existing gap in aesthetic studies on double eyelids. These findings hold significant implications for surgical planning, effect assessment, and other periocular procedures related to upper blepharoplasty.