Chi Yarong, Li Zhujun, Jin Lin, Chong Yuming, Huang Jiuzuo, Yu Nanze, Long Xiao
Aesthet Surg J. 2024 Feb 15;44(3):265-274. doi: 10.1093/asj/sjad266.
Pretarsal rolls are a crucial aesthetic feature. Despite numerous studies conducted on periorbital aesthetics, there remains a dearth of research on the ideal pretarsal rolls.
This study aimed to investigate 4 aesthetic characteristics of ideal pretarsal rolls: presence, width, proportion, and morphology.
Respondents (385, including 80 aesthetic specialists) were presented with 7 series of images of pretarsal rolls, including 2 series of pretarsal roll existence, 2 series of varying widths, 2 series of different ratios between pretarsal roll and palpebral fissure height, and 1 series about morphology. Participants were asked to rank each image within a given series from most attractive to least attractive. The rankings were then analyzed according to population demographics.
The majority of respondents deemed images with pretarsal rolls to be more aesthetically pleasing (P < .001) than those without such features. Additionally, pretarsal rolls with a width of 5 mm (P < .001), a ratio to palpebral fissure height of 0.5:1 (P < .001), and a crescent shape (P < .001) were perceived as the most attractive. Moreover, individuals aged 40 or younger exhibited a significant preference for images with pretarsal rolls compared to older groups (P < .001), and females displayed a greater inclination toward a medium ratio of pretarsal roll to palpebral fissure height than males did (0.5:1 P = .003, 0.618:1 P < .001).
This study validates the optimal characteristics of pretarsal rolls, which provides insight into pretarsal roll aesthetics and holds significant implications for surgical planning and effect assessment in future periocular procedures involving pretarsal rolls.
睑板前皱襞是一项关键的美学特征。尽管针对眶周美学已开展了大量研究，但关于理想睑板前皱襞的研究仍较为匮乏。
本研究旨在探究理想睑板前皱襞的4项美学特征：存在情况、宽度、比例和形态。
向385名受访者（包括80名美学专家）展示7组睑板前皱襞的图像，其中包括2组睑板前皱襞存在情况的图像、2组宽度各异的图像、2组睑板前皱襞与睑裂高度不同比例的图像以及1组关于形态的图像。要求参与者将给定系列中的每张图像按吸引力从高到低进行排序。然后根据人群统计学特征对排序结果进行分析。
大多数受访者认为有睑板前皱襞的图像比没有此类特征的图像在美学上更令人愉悦（P <.001）。此外，宽度为5毫米（P <.001）、与睑裂高度的比例为0.5:1（P <.001）以及呈新月形（P <.001）的睑板前皱襞被认为最具吸引力。此外，与年龄较大的组相比，40岁及以下的个体对有睑板前皱襞的图像表现出明显的偏好（P <.001），并且女性相较于男性更倾向于睑板前皱襞与睑裂高度的中等比例（0.5:1，P =.003；0.618:1，P <.001）。
本研究验证了睑板前皱襞的最佳特征，这为睑板前皱襞美学提供了见解，并对未来涉及睑板前皱襞的眼周手术的手术规划和效果评估具有重要意义。
