A Biological Approach to Periorbital Aesthetics in Caucasian Females: A Review of the Literature

The face plays an important role in human interactions, and the periorbital region is particularly important for recognition and attractiveness. There are several studies on the beauty of the periorbital region with a variety of methodologies, but few articles consider the attractiveness factors derived from evolutionary psychology such as symmetry, dimorphism, age and average, neoteny, and facial expression. The aim of this study was to identify periorbital attractiveness criteria in Caucasian females based on experimental studies and to interpret them in the light of studies on biological attractiveness factors. A review of literature was conducted with PubMed, the Cochrane Library Database, and EMBASE. Studies published after March 20, 2022, were analyzed, and no date limit was applied to reference papers. The search strategy was focused on 3 main concepts: attractiveness AND evaluation AND facial feature of periorbital region. A total of 780 articles were identified with this search strategy; 534 were excluded based on title and abstract and another 110 after full text assessment. Eighteen articles were finally included in the analysis. The main factors identified were an ascending intercanthal axis and eyebrow axis, a regular pretarsal plate and a well-defined upper lid crease, no scleral show, and an open eye fissure exposing the upper half of the iris. In our review we were able to identify objective anthropometric characteristics linked to biological attractiveness criteria that may be helpful in preoperative planning and assessment of the periorbital region of patients.

LEVEL OF EVIDENCE: 3

Was Marilyn Monroe myopic and an early adopter of colored contact lenses? A review of the evidence and the early history of colored contact lenses

Wide availability and uptake of contact lenses came with the development of the first polymethyl methacrylate corneal lenses during the late 1940s. It is less well known that colored contact lenses were developed simultaneously. These innovations allowed both a degree of spectacle independence for ametropes and an ability to vary eye color. The impact on facial and ocular cosmesis was substantial, particularly for public figures such as actors. We have obtained contact lenses and matching casts manufactured by their inventor, Kevin M. Tuohy. Measurements of these suggest they were made for a myope, and we provide indirect evidence that the lenses were made for Marilyn Monroe. We also provide evidence that Monroe is likely to have been myopic, used colored contact lenses to change her eye color and may have been an early sufferer of contact lens overwear syndrome. The importance of ocular cosmesis can be overlooked in ophthalmic practice, yet it is of great interest to and importance for patients. It appears that discomfort, and even risk, will be tolerated to achieve a particular appearance. This is reflected in current techniques aimed at achieving improved cosmesis.

Large irides enhance the facial attractiveness of Japanese and Chinese women

Since large eyes are often perceived to enhance facial attractiveness, many individuals are motivated to change their eyes' appearance. Colored contact lenses are often used by young women to darken the limbal rings of their irides, to increase their facial attractiveness. Among Westerners, wearing contact lenses with limbal rings enhances facial attractiveness; a similar effect might exist for East Asians whose irides are darker; although, the mechanism underlying these preferences in Westerners and East Asians might differ. In this study, we investigated whether larger irides increased the attractiveness of Japanese and Chinese women, and whether this effect was accompanied by changes in perceived friendliness or youthfulness. We manipulated eye size by enlarging only the iris or the whole eye, and asked participants to rate face stimuli in terms of facial attractiveness, friendliness, and youthfulness. We found that larger irides enhanced not only attractiveness but also perceived youthfulness and friendliness, and that there was a significant correlation between attractiveness and friendliness. Further, iris-enlarged faces were perceived as more attractive even when the iris was originally dark, as enlarged dark irides were confused with dilated pupils, which are often perceived as a sign of attraction.

Diversity in Primate External Eye Morphology: Previously Undescribed Traits and Their Potential Adaptive Value

Comparative examinations of external eye morphology in primates initially focused on communicative functions of the eye. Subsequent work has failed to find consistent associations between specific eye morphologies and communicative functions. In this article, we review the field of primate external eye morphology and inspect publicly available and unpublished photographs. We identify and describe five commonly occurring traits that have not received attention so far. We cross-examined the clinical and psychological literature to propose potential adaptive functions. These potential adaptive functions include communicative functions, but also photoregulatory functions and photoprotective functions.

Put a (Limbal) Ring on It: Women Perceive Men's Limbal Rings as a Health Cue in Short-Term Mating Domains

Limbal rings are dark annuli encircling the iris that fluctuate in visibility based on health and age. Research also indicates their presence augments facial attractiveness. Given individuals' prioritization of health cues in short-term mates, those with limbal rings may be implicated as ideal short-term mates. Three studies tested whether limbal rings serve as veridical health cues, specifically the extent to which this cue enhances a person's value as a short-term mating partner. In Study 1, targets with limbal rings were rated as healthier, an effect that was stronger for female participants and male targets. In Study 2, temporally activated short-term mating motives led women to report a heightened preference for targets with limbal rings. In Study 3, women rated targets with limbal rings as more desirable short-term mates. Results provide evidence for limbal rings as veridical cues to health, particularly in relevant mating domains.

Not everything is blue or brown: Quantification of ocular coloration in psychological research beyond dichotomous categorizations

The notion that phenomenologically observable differences in the human eye are correlated with behavioral tendencies (other than gaze-following) has been addressed poorly in the psychological literature. Most notably, the proposed correlations are based on an arbitrary categorization in discrete categories of the continuous variability across various traits that could be contributing to individual eye morphologies. We review the relevant literature and assume a view of human eyes as sign stimuli, identifying the relative contrast between the iridal and scleral areas as the main contributor to the strength of the signal. Based on this view, we present a new method for the precise quantification of the relative luminosity of the iris (RLI) and briefly discuss its potential applications in psychological research.

Atomic force microscopy and scanning electron microscopy analysis of daily disposable limbal ring contact lenses

BACKGROUND

Limbal ring (also known as 'circle') contact lenses are becoming increasingly popular, especially in Asian markets because of their eye-enhancing effects. The pigment particles that give the eye-enhancing effects of these lenses can be found on the front or back surface of the contact lens or 'enclosed' within the lens matrix. The purpose of this research was to evaluate the pigment location and surface roughness of seven types of 'circle' contact lenses.

METHODS

Scanning electron microscopic (SEM) analysis was performed using a variable pressure Hitachi S3400N instrument to discern the placement of lens pigments. Atomic force microscopy (Dimension Icon AFM from Bruker Nano) was used to determine the surface roughness of the pigmented regions of the contact lenses. Atomic force microscopic analysis was performed in fluid phase under contact mode using a Sharp Nitride Lever probe (SNL-10) with a spring constant of 0.06 N/m. Root mean square (RMS) roughness values were analysed using a generalised linear mixed model with a log-normal distribution. Least square means and their corresponding 95% confidence intervals were estimated for each brand, location and pigment combination.

RESULTS

SEM cross-sectional images at 500× and 2,000× magnification showed pigment on the surface of six of the seven lens types tested. The mean depth of pigment for 1-DAY ACUVUE DEFINE (1DAD) lenses was 8.1 μm below the surface of the lens, while the remaining lens types tested had pigment particles on the front or back surface. Results of the atomic force microscopic analysis indicated that 1DAD lenses had significantly lower root mean square roughness values in the pigmented area of the lens than the other lens types tested.

CONCLUSIONS

SEM and AFM analysis revealed pigment on the surface of the lens for all types tested with the exception of 1DAD. Further research is required to determine if the difference in pigment location influences on-eye performance.