Curve or Straight Eyelid? Curious What Determines the Eyelid Above the middle of the Tarsal Plate? (photo)

Hi, I am curious what determines the eyelid above the middle of the tarsal plate to be curve like or straight and could i have the option of deciding which type i want. I have attached a photo with circled areas pin pointing the area. Thank you.

Doctor Answers 2

What determines the curve of the tarsal crease of the upper eyelid?

This is a complex and sophisticated question, and as is so often the case in such situations, there is not a simple answer.  First of all the foundation of the orbit is determined by the underlying bony structure.  This may be the most important factor in what you describe.  Another factor is the soft tissues of the upper eyelid including the structure of the fatty and muscular layers.  Finally there is the geometry of the way the levator aponeurosis inserts onto the tarsal plate.  It may or may not be possible to modify these structures in your individual case.  It all comes down to the physical exam.

Chicago Plastic Surgeon
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Eye shape

The eye shape is created by many things. It is primarily a component of the underlying bony and soft tissue structures and their inter-relationship.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.