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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.

Eyelid surgery tutorial >> Lower eyelids II >> page 10
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You saw these photos on the previous page, with the red lines showing the actual positions of the lower eyelids, and the blue line above left showing where we would want her lower eyelid to rest.  The red and blue arrows above left emphasize that the outer corner of the eye, besides being unnaturally rounded, has been pulled lower in position.

That lowering of the outside corner gives the eyes an unnatural orientation.  Normally, the outside corner of the eye is above the inside corner of the eye, so that a line connecting the inner and outer corners is canted lower by the nose, higher out to the side.  Above left, we see that the eye with the complication has an axis that is horizontal, compared with the more normal angulation above right.

When the eyes have an angulation more than average, we say that the person has "cat eyes," like right photo at the top of this page.  Cat eyes are usually thought to be attractive, which makes it even more sad to see the eye's axis harmed by poor surgery.


Here's why we call them cat eyes.  Note that the outer corner of the cat's eye is very much higher than the inner corner.  Compare the red axis line above right with the two red axis lines in the photos immediately above these cats.

The kitten's eyes are rounder, without the apparent angulation, because when a cat opens her eyes wide, they lose some of that angulated almond shape, and they appear round.

Mother and child both have a condition called heterochromia: their two eyes are different colors.  And both have blue on the right and greenish-brown on the left!  If there was ever a question who the mother is ...



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All surgery depicted in this essay, except where noted, was performed by Dr. Denenberg