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