Aesthetic physicians performing procedures aimed at improving facial appearance can reliably use the orbital oval balance principle to achieve optimal results in white middle-aged women, according to a study published in October in Plastic and Reconstructive Surgery.

U.S. plastic surgeon and study author Timothy J. Marten, M.D., popularized the orbital oval balance method of analysis, which suggests a key feature in periorbital attractiveness is when the eye is centered in an oval defined by the lid-cheek junction and the eyebrow.
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